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User CR: Multi-Carrier System (MCS) - Beneficiary Age Data Element

This change request will create a new data element for use in the MCS System Control Facility (SCF) to read the beneficiary age in editing and auditing. Currently, MCS procedure to age edit is handled via the procedure code file and MCS hard coded edit 142D. Making the beneficiary age available for use in SCF would provide greater flexibility to the MACs.

Download the Guidance Document

Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: November 10, 2021

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.