02/27/2025 |
3.34.0 |
CLT.003.224 |
UPDATE |
Coding requirement |
1. Value must be in XIX MBESCBES Category of Service List (VVL)2. Value must be 5 characters or less3. Conditional4. (Medicaid Claim) if the associated CMS-64 Category for Federal Reimbursement value is "01", then a valid value is mandatory and must be reported5. If value is in [14,35,42,44], then Sex (ELG.002.023) must not equal "M"6. If XXI MBESCBES Category of Service is populated, then must not be populated |
1. Value must be in XIX MBESCBES Category of Service List (VVL)2. Value must be 5 characters or less3. Conditional4. (Medicaid Claim) if the associated CMS-64 Category for Federal Reimbursement value is "01", then a valid value is mandatory and must be reported5. If XXI MBESCBES Category of Service is populated, then must not be populated |
09/12/2024 |
3.29.0 |
CLT.003.224 |
UPDATE |
Coding requirement |
1. Value must be in XIX MBESCBES Category of Service List (VVL)2. Value must be 5 characters or less3. Conditional4. (Medicaid Claim) if the associated CMS-64 Category for Federal Reimbursement value is '01', then a valid value is mandatory and must be reported5. If value is in ['14', '35', '42' or '44'], then Sex (ELG.002.023) must not equals 'M'6. If XXI MBESCBES Category of Service is populated then must not be populated |
1. Value must be in XIX MBESCBES Category of Service List (VVL)2. Value must be 5 characters or less3. Conditional4. (Medicaid Claim) if the associated CMS-64 Category for Federal Reimbursement value is "01", then a valid value is mandatory and must be reported5. If value is in [14,35,42,44], then Sex (ELG.002.023) must not equal "M"6. If XXI MBESCBES Category of Service is populated, then must not be populated |
08/28/2023 |
3.12.0 |
CLT.003.224 |
UPDATE |
Coding requirement |
1. Value must be in XIX MBESCBES Category of Service List (VVL)2. Value must be 5 characters or less3. Conditional4. (Medicaid Claim) if the associated CMS-64 Category for Federal Reimbursement value is '1', then a valid value is mandatory and must be reported5. If value is in ['14', '35', '42' or '44'], then Sex (ELG.002.023) must not equals 'M'6. If XXI MBESCBES Category of Service is populated then must not be populated |
1. Value must be in XIX MBESCBES Category of Service List (VVL)2. Value must be 5 characters or less3. Conditional4. (Medicaid Claim) if the associated CMS-64 Category for Federal Reimbursement value is '01', then a valid value is mandatory and must be reported5. If value is in ['14', '35', '42' or '44'], then Sex (ELG.002.023) must not equals 'M'6. If XXI MBESCBES Category of Service is populated then must not be populated |
03/28/2025
|
3.36.0 |
XIX-MBESCBES-CATEGORY-OF-SERVICE (CLT224)
|
Update |
Data Dictionary - Valid Values |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION XIX-MBESCBES-CATEGORY-OF-SERVICE | 01/01/0001 | 12/31/9999 |27|Emergency Services for Undocumented Noncitizens | |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION XIX-MBESCBES-CATEGORY-OF-SERVICE | 01/01/0001 | 12/31/9999 |27|Emergency Services for Undocumented Aliens | |
11/08/2024
|
3.31.0 |
XIX-MBESCBES-CATEGORY-OF-SERVICE (CIP270, CLT224, COT211, CRX150)
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION XIX-MBESCBES-CATEGORY-OF-SERVICE|00010101|99991231|48|ARP Section 9813 Qualified Community Based Mobile Crisis Intervention – 85% |
06/24/2022
|
3.0.0 |
CLT224/ XIX-MBESCBES-CATEGORY-OF-SERVICE
|
Modify DE Width |
Data Dictionary - Record Layout |
SIZE X(4) |
SIZE X(5) |
02/26/2021
|
3.0.0 |
XIX-MBESCBES-CATEGORY-OF-SERVICE
|
ADD |
Data Dictionary - Valid Values |
N/A |
|Valid Value ID|Effective Date|End Date|Value|Description| |XIX-MBESCBES-CATEGORY-OF-SERVICE|20201001|99991231|46|OUD Medicaid Assisted Treatment – Drugs| |XIX-MBESCBES-CATEGORY-OF-SERVICE|20201001|99991231|46A1| OUD MAT DRUG REBATE/National Agreement| |XIX-MBESCBES-CATEGORY-OF-SERVICE|20201001|99991231|46A2|OUD MAT DRUG REBATE/State Sidebar| |XIX-MBESCBES-CATEGORY-OF-SERVICE|20201001|99991231|46A3| OUD MAT DRUG REBATE MCO /National Agreement| |XIX-MBESCBES-CATEGORY-OF-SERVICE|20201001|99991231|46A4| OUD MAT DRUG REBATE MCO /State Sidebar| |XIX-MBESCBES-CATEGORY-OF-SERVICE|20201001|99991231|46A5| OUD MAT DRUG REBATE/Increased ACA Offset Fee for Service - 100%| |XIX-MBESCBES-CATEGORY-OF-SERVICE|20201001|99991231|46A6| OUD MAT DRUG REBATE/Increased ACA Offset MCO – 100%| |XIX-MBESCBES-CATEGORY-OF-SERVICE|20201001|99991231|46B| OUD Medicaid Assisted Treatment Services| |
03/19/2021
|
3.0.0 |
XIX-MBESCBES-CATEGORY-OF-SERVICE
|
UPDATE |
Data Dictionary - Valid Values |
|Data Element|Effective Date|End Date|Value|Name| |XIX-MBESCBES-CATEGORY-OF-SERVICE|00010101|99991231|50|Total| |
N/A |
04/30/2021
|
3.0.0 |
XIX-MBESCBES-CATEGORY-OF-SERVICE
|
ADD |
Data Dictionary - Valid Values |
N/A |
|Valid Value|Effective Date|End Date|Name| |2C|00010101|99991231|Certified Community Behavior Health Clinic Payments| |18A5|00010101|99991231|Medicaid MCO - Certified Community Behavior Health Clinic Payments| |18B1e|00010101|99991231|Medicaid PAHP - Certified Community Behavior Health Clinic Payments| |18B2e|00010101|99991231|Medicaid PIHP - Certified Community Behavior Health Clinic Payments| |46|00010101|99991231|OUD Medicaid Assisted Treatment – Drugs| |46A1|00010101|99991231|OUD MAT DRUG REBATE/National Agreement| |46A2|00010101|99991231|OUD MAT DRUG REBATE/State Sidebar| |46A3|00010101|99991231|OUD MAT DRUG REBATE MCO /National Agreement| |46A4|00010101|99991231|OUD MAT DRUG REBATE MCO /State Sidebar| |46A5|00010101|99991231|OUD MAT DRUG REBATE/Increased ACA Offset Fee for Service - 100%| |46A6|00010101|99991231|OUD MAT DRUG REBATE/Increased ACA Offset MCO – 100%| |46B|00010101|99991231|OUD Medicaid Assisted Treatment Services| |
12/03/2021
|
3.0.0 |
XIX-MBESCBES-CATEGORY-OF-SERVICE
|
ADD |
Data Dictionary - Valid Values |
N/A |
|VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION| |XIX-MBESCBES-CATEGORY-OF-SERVICE|20210311|99991231|47|ARP Section 9811 COVID Vaccine/Vaccine Administration| |