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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

LTC-RCP-LIAB-AMT

Data Element

DE Number

CLT145

System DE Number

CLT.002.145

File Name

CLT - CLAIM LONG-TERM CARE

File Segment Number

CLT00002

File Segment Name

CLAIM-HEADER-RECORD-LT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition The total amount paid by the patient for services where they are required to use their personal funds to cover part of their care before Medicaid funds can be utilized.
Size S9(11)V99
FLF Start Position 847
FLF Stop Position 859
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be between -99999999999.99 and 99999999999.99
2. Value must be expressed as a number with 2-digit precision (e.g. 100.50)
3. Conditional
Valid Value Code Set Valid Value Code Valid Value Name Valid Value Description Effective Start Date Effective End Date
DE Number System DE Number DE Name File Segment Number File Segment Name
CIP297 CIP.002.297 LTC-RCP-LIAB-AMT CIP00002 CLAIM-HEADER-RECORD-IP
COT235 COT.002.235 LTC-RCP-LIAB-AMT COT00002 CLAIM-HEADER-RECORD-OT
CRX173 CRX.002.173 LTC-RCP-LIAB-AMT CRX00002 CLAIM-HEADER-RECORD-RX