Department of Medical Assistance Services
T-MSIS Source to Target Maps and Addendum documents
Description Document Date
CLAIM-IP Addendum A V1.1
April 20, 2016
CLAIM-IP Addendum B V1.0
April 20, 2016
CLAIM-IP Mapping v2.0
April 20, 2016
CLAIM-LT Addendum A V1.1
April 20, 2016
CLAIM-LT Addendum B V1.0
April 20, 2016
CLAIM-LT Mapping v2.0
April 20, 2016
CLAIM-OT Addendum A V1.0
April 20, 2016
CLAIM-OT Addendum B V1.0
April 20, 2016
CLAIM-OT Mapping v2.0
April 20, 2016
CLAIM-RX Addendum A V1.1
April 20, 2016
CLAIM-RX Addendum B V1. 0
April 20, 2016
CLAIM-RX Mapping v2.0
April 20, 2016
Claims Type of Service
April 20, 2016
ELIGIBILITY Addendum B V1.0
April 20, 2016
ELIGIBILITY Mapping v2.0
April 20, 2016
ELIGIBILTY Addendum A V1.1
April 20, 2016
MCO Addendum A V1.1
April 20, 2016
MCO Addendum B V1.0
April 20, 2016
MCO Mapping 2.0
April 20, 2016
PROVIDER Addendum A V1.2
April 20, 2016
PROVIDER Addendum B V1.0
April 20, 2016
PROVIDER Mapping v2.0
April 20, 2016
TPL Addendum B V1.0
April 20, 2016
TPL Mapping v3.0
April 20, 2016