5.1.1. Provider Data Elements

VARIABLE NAME: File Header (Batch Upload)

DESCRIPTION: Designates the reporting period that data is being submitted under, as well as the agency submitting data.

VALID ENTRIES: Reporting period followed by agency NPI, Zip, and Taxonomy identifiers as enrolled with MHCP.

YYYY_06: January – June of year designated.

YYYY_12: July – December of year designated.

GUIDELINES:

· Reporting period will consist of the year that corresponds with your data and the 6 month window for which you are submitting data:

· Ex. Jan – June 2019 would be formatted as 2019_06

· Ex. July – Dec 2019 would be formatted as 2019_12

· Batch upload providers can verify the NPI, zip code and taxonomy identifier required for the batch file header by referencing the NPI displayed at the top of the screen when logged-in to the MHIS application.

· Providers with unconsolidated billing may not have a zip code or taxonomy identifier associated with their MHCP enrollment, in this event either or both fields will be left blank (See examples in format below).

FIELD NUMBER: H1

FIELD LENGTH: 39

FIELD TYPE: Text

FORMAT:

· Agencies with NPI, Zip and Taxonomy

· YYYY_XX,XXXXXXXXXX,XXXXXXXXX,XXXXXXXXXX

· Agencies with NPI and Zip

· YYYY_XX,XXXXXXXXXX,XXXXXXXXX,

· Agencies with NPI only

· YYYY_XX,XXXXXXXXXX,,

VARIABLE NAME: NPI/UMPI

DESCRIPTION: A unique provider identification number.

VALID ENTRIES: Identifies the specific agency providing service to the client using 10 text characters.

GUIDELINES:

· Designate the NPI/UMPI that matches your MHCP enrolled provider profile for the services provided.

· This information is displayed at the top of the screen when logged-in to the MHIS application.

FIELD NUMBER: C1, CR1

FIELD LENGTH: 10

FIELD TYPE: Text

FORMAT: XXXXXXXXXX

VARIABLE NAME: Zip Code + 4

DESCRIPTION: Identifies the agency’s location where services where rendered.

VALID ENTRIES: Identifies the specific location of the service being provided to the client using minimum of 5 text characters.

GUIDELINES:

· MHCP providers with a consolidated NPI/UMPI must follow MHCP billing policies as outlined in the MHCP Provider Manual for reporting Client Level Data. Review the MHCP Provider Manual for information about claim submissions. MHCP providers with non-consolidated NPI/UMPI number must leave zip code field blank.

· This information is displayed at the top of the screen when logged-in to the MHIS application.

FIELD NUMBER: C2. CR2

FIELD LENGTH: 9

FIELD TYPE: Text

FORMAT: XXXXXXXXX

VARIABLE NAME: Taxonomy

DESCRIPTION: A unique consolidated agency identification number.

VALID ENTRIES: Identifies the specific location of the service using 10 text characters.

GUIDELINES:

· This information is displayed at the top of the screen when logged-in to the MHIS application.

FIELD NUMBER: C3, CR3

FIELD LENGTH: 10

FIELD TYPE: Text

FORMAT: XXXXXXXXXX

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