CLT.002.103

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TMSIS Dataguide

Medicaid.gov

Version:

OCCURRENCE-CODE-EFF-DATE-02

Data Element

DE Number

CLT103

System DE Number

CLT.002.103

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 start date of the corresponding occurrence code or occurrence span codes.
Size	9(8)
FLF Start Position	443
FLF Stop Position	450
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. The date must be a valid calendar date in the form "CCYYMMDD" 2. When populated, value must have an associated populated Occurrence Code 3. Conditional 4. Value must be on or before the Occurrence Code End Date

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

RULE ID	RULE Definition
RULE-1033	If a claim is a non-denied claim from an LT file, then the occurrence code effective date 02 value reported must be a valid date of the form CCYYMMDD.
RULE-1035	If a non-denied LT claim has a value populated for occurrence code 02, then occurrence code effective date 02 must be populated.
RULE-1036	If a non-denied LT claim has a value populated for occurrence code effective date 02 and occurrence code end date 02, then occurrence code effective date 02 is less than or equal to occurrence code end date 02.

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP151	CIP.002.151	OCCURRENCE-CODE-EFF-DATE-02	CIP00002	CLAIM-HEADER-RECORD-IP
COT085	COT.002.085	OCCURRENCE-CODE-EFF-DATE-02	COT00002	CLAIM-HEADER-RECORD-OT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
12/19/2024	4.0.1	CLT.002.103	UPDATE	Coding requirement	1. The date must be a valid calendar date in the form "CCYYMMDD"2. When populated, value must have an associated populated Occurrence Code3. Conditional4. Value must be less than or equal to Occurrence Code End Date	1. The date must be a valid calendar date in the form "CCYYMMDD"2. When populated, value must have an associated populated Occurrence Code3. Conditional4. Value must be on or before the Occurrence Code End Date
09/16/2024	4.0.0	CLT.002.103	UPDATE	File segment	None	30
09/16/2024	4.0.0	CLT.002.103	ADD	N/A		Created