CRX.003.158

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TMSIS Dataguide

Medicaid.gov

Version:

SELF-DIRECTION-TYPE

Data Element

DE Number

CRX158

System DE Number

CRX.003.158

File Name

CRX - CLAIM PHARMACY

File Segment Number

File Segment Name

CLAIM-LINE-RECORD-RX

Last updated

No Updates

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	This data element is not applicable to this file type.
Size	X(3)
FLF Start Position	909
FLF Stop Position	911
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be in Self Direction Type List (VVL) 2. Value must be 3 characters 3. Mandatory

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

RULE ID	RULE Definition
RULE-1968	If the self direction type is populated on a non-denied RX claim line, then the self direction type reported must be found in the list of valid values.
RULE-6482	If a claim line is a non-denied claim line from an RX file, then the self direction type value reported must be compatible with specified T-MSIS picture format: X(3).

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP287	CIP.003.287	SELF-DIRECTION-TYPE	CIP00003	CLAIM-LINE-RECORD-IP
CLT234	CLT.003.234	SELF-DIRECTION-TYPE	CLT00003	CLAIM-LINE-RECORD-LT
COT222	COT.003.222	SELF-DIRECTION-TYPE	COT00003	CLAIM-LINE-RECORD-OT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After