CLT.002.044

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TMSIS Dataguide

Medicaid.gov

Version 3.38.0

ADMISSION-DATE

Data Element

DE Number

CLT044

System DE Number

CLT.002.044

File Name

CLT - CLAIM LONG-TERM CARE

File Segment Number

File Segment Name

CLAIM-HEADER-RECORD-LT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The date on which the recipient was admitted to a psychiatric or long-term care facility.
Size	9(8)
FLF Start Position	213
FLF Stop Position	220
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 8 characters in the form "CCYYMMDD" 2. The date must be a valid calendar date (i.e. Feb 29th only on the leap year, never April 31st or Sept 31st) 3. Value must be less than or equal to associated Discharge Date value in the claim header 4. Value must be greater than or equal to associated eligible Date of Birth value 5. Value must be less than or equal to associated eligible Date of Death value 6. Mandatory 7. When associated Type of Claim (CLT.002.052) is not in [2,B,V] (capitated payment) value must be before Adjudication Date (CLT.002.050) 8. When associated Type of Claim (CLT.002.052) is not [2,B,V] (capitated payment) and Type of Service (CLT.003.211) is not [119,120,121,122] value must be before Adjudication Date (CLT.003.233)

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date

RULE ID	RULE Definition
RULE-1273	If admission date is populated on a non-denied claim from an LT file that is not a Medicaid or Medicaid-expansion, S-CHIP, or Other Capitated Payment or premium payment and adjudication date is populated on a non-denied claim line that is not a capitated payment or premium payment, then the admission date value reported must be before or equal to the adjudication date value reported.
RULE-920	If a non-denied LT claim has a admission date value reported it must be a valid date of the form CCYYMMDD.
RULE-922	If admission date and adjudication date are populated on a non-denied claim from an LT file that is not a Medicaid or Medicaid-expansion, S-CHIP, or Other Capitated Payment, then the admission date value reported must be before or equal to the adjudication date value reported.
RULE-923	If a claim is a non-denied claim from an LT file and the discharge date is populated and the admission date is populated in the claim header, then admission date is less than or equal to the discharge date.
RULE-924	If a claim is a non-denied claim from an LT file and the date of death is populated on the primary demographic eligibilty segment and the admission date is populated in the claim header, then admission date is less than or equal to the date of death.

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP094	CIP.002.094	ADMISSION-DATE	CIP00002	CLAIM-HEADER-RECORD-IP

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/12/2024	3.29.0	CLT.002.044	UPDATE	Coding requirement	1. Value must be 8 characters in the form "CCYYMMDD"2. The date must be a valid calendar date (i.e. Feb 29th only on the leap year, never April 31st or Sept 31st)3. Value must be less than or equal to associated Discharge Date value in the claim header.4. Value must be greater than or equal to associated eligible Date of Birth value.5. Value must be less than or equal to associated eligible Date of Death value.6. Mandatory7. When associated Type of Claim (CLT.002.052) is not '2','B' or 'V' (capitated payment) value must be before Adjudication Date (CLT.002.050)8. When associated Type of Claim (CLT.002.052) is not '2','B' or 'V' (capitated payment) and Type of Service (CLT.003.211) is not '119, '120', '121', 122' value must be before Adjudication Date (CLT.003.233)	1. Value must be 8 characters in the form "CCYYMMDD"2. The date must be a valid calendar date (i.e. Feb 29th only on the leap year, never April 31st or Sept 31st)3. Value must be less than or equal to associated Discharge Date value in the claim header4. Value must be greater than or equal to associated eligible Date of Birth value5. Value must be less than or equal to associated eligible Date of Death value6. Mandatory7. When associated Type of Claim (CLT.002.052) is not in [2,B,V] (capitated payment) value must be before Adjudication Date (CLT.002.050)8. When associated Type of Claim (CLT.002.052) is not [2,B,V] (capitated payment) and Type of Service (CLT.003.211) is not [119,120,121,122] value must be before Adjudication Date (CLT.003.233)
08/14/2023	3.12.0	CLT.002.044	UPDATE	Coding requirement	1. Value must be 8 characters in the form "CCYYMMDD"2. The date must be a valid calendar date (i.e. Feb 29th only on the leap year, never April 31st or Sept 31st)3. Value must be less than or equal to associated Discharge Date (CE) value in the claim header.4. Value must be greater than or equal to associated eligible Date of Birth (CE) value.5. Value must be less than or equal to associated eligible Date of Death (CE) value.6. Mandatory7. When associated Type of Claim (CLT.002.052) is not '2','B' or 'V' (capitated payment) value must be before Adjudication Date (CLT.002.050)8. When associated Type of Claim (CLT.002.052) is not '2','B' or 'V' (capitated payment) and Type of Service (CLT.003.211) is not '119, '120', '121', 122' value must be before Adjudication Date (CLT.003.233)	1. Value must be 8 characters in the form "CCYYMMDD"2. The date must be a valid calendar date (i.e. Feb 29th only on the leap year, never April 31st or Sept 31st)3. Value must be less than or equal to associated Discharge Date value in the claim header.4. Value must be greater than or equal to associated eligible Date of Birth value.5. Value must be less than or equal to associated eligible Date of Death value.6. Mandatory7. When associated Type of Claim (CLT.002.052) is not '2','B' or 'V' (capitated payment) value must be before Adjudication Date (CLT.002.050)8. When associated Type of Claim (CLT.002.052) is not '2','B' or 'V' (capitated payment) and Type of Service (CLT.003.211) is not '119, '120', '121', 122' value must be before Adjudication Date (CLT.003.233)