CIP.002.099

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TMSIS Dataguide

Medicaid.gov

Version:

MEDICAID-PAID-DATE

Data Element

DE Number

CIP099

System DE Number

CIP.002.099

File Name

CIP - CLAIM INPATIENT

File Segment Number

File Segment Name

CLAIM-HEADER-RECORD-IP

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The date Medicaid paid this claim or adjustment. For Encounter Records (Type of Claim = 3, C, W), the date the managed care organization paid the provider for the claim or adjustment.
Size	9(8)
FLF Start Position	327
FLF Stop Position	334
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. The date must be a valid calendar date in the form "CCYYMMDD" 2. Must have an associated Total Medicaid Paid Amount 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-508	If a claim is a non-denied claim from an IP file, then the Medicaid paid date value reported must be a valid date of the form CCYYMMDD.
RULE-7321	#N/A
RULE-7752	If a claim is a non-denied claim from an IP file, that is a Medicaid or Medicaid-expansion Encounter or Separate CHIP Encounter claim and is an original claim or a replacement/resubmission claim payment then medicaid paid date must be populated.
RULE-7901	If a claim is a non-denied claim from an IP file, that is a Medicaid or Medicaid-expansion Fee for service or Separate CHIP Fee for service claim and is an original claim or a replacement/resubmission claim payment then medicaid paid date must be populated.

Measure ID	Measure Name
MIS-2-032_1-58	% missing: MEDICAID-PAID-DATE (CIP00002)
MIS-21-033-33	% missing: MEDICAID-PAID-DATE (CIP00002)
MIS-79-033-33	% missing: MEDICAID-PAID-DATE (CIP00002)
RULE-7901	% missing: MEDICAID-PAID-DATE (CIP00002)
RULE-7752	% missing: MEDICAID-PAID-DATE (CIP00002)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CLT051	CLT.002.051	MEDICAID-PAID-DATE	CLT00002	CLAIM-HEADER-RECORD-LT
COT036	COT.002.036	MEDICAID-PAID-DATE	COT00002	CLAIM-HEADER-RECORD-OT
CRX028	CRX.002.028	MEDICAID-PAID-DATE	CRX00002	CLAIM-HEADER-RECORD-RX

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/16/2024	4.0.0	CIP.002.099	UPDATE	File segment	None	25
09/16/2024	4.0.0	CIP.002.099	ADD	N/A		Created