CLT.002.116

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TMSIS Dataguide

Medicaid.gov

Version:

OCCURRENCE-CODE-END-DATE-05

Data Element

DE Number

CLT116

System DE Number

CLT.002.116

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 last date that the corresponding occurrence code or occurrence span code was applicable. If occurrence date span is a single day, value must be equal to the value of the associated Occurrence Code Effective Date.
Size	9(8)
FLF Start Position	547
FLF Stop Position	554
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 Occurrence Code 3. Value must be on or after the Occurrence Code Effective Date 4. Conditional

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

RULE ID	RULE Definition
RULE-1048	If a non-denied LT claim has a value populated for occurrence code effective date 05 and occurrence code end date 05, then occurrence code effective date 05 is less than or equal to occurrence code end date 05.
RULE-1085	If a claim is a non-denied claim from an LT file, then the occurrence code end date 05 value reported must be a valid date of the form CCYYMMDD.
RULE-1087	If a non-denied LT claim has a value populated for occurrence code 05, then occurrence code end date 05 must be populated.

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP164	CIP.002.164	OCCURRENCE-CODE-END-DATE-05	CIP00002	CLAIM-HEADER-RECORD-IP
COT098	COT.002.098	OCCURRENCE-CODE-END-DATE-05	COT00002	CLAIM-HEADER-RECORD-OT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
12/19/2024	4.0.1	CLT.002.116	UPDATE	Coding requirement	1. The date must be a valid calendar date in the form "CCYYMMDD"2. Must have an associated Occurrence Code3. Must be greater than or equal to Occurrence Code Effective Date4. Conditional	1. The date must be a valid calendar date in the form "CCYYMMDD"2. Must have an associated Occurrence Code3. Value must be on or after the Occurrence Code Effective Date4. Conditional
09/16/2024	4.0.0	CLT.002.116	UPDATE	File segment	None	30
09/16/2024	4.0.0	CLT.002.116	ADD	N/A		Created