CLT.002.148

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TMSIS Dataguide

Medicaid.gov

Version:

LEAVE-DAYS

Data Element

DE Number

CLT148

System DE Number

CLT.002.148

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 number of days, during the period covered by Medicaid, on which the patient did not reside in the long term care facility.
Size	S9(5)
FLF Start Position	865
FLF Stop Position	869
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be numeric 2. Value must be 5 digits or less 3. Conditional 4. Value must be populated when Type of Service (CLT.003.211) is in [009,045,046,047,059](Intermediate Care Facility for Individuals with Intellectual Disabilities)

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

RULE ID	RULE Definition
RULE-1153	If a non-denied claim from an LT file, then the leave days value reported must be compatible with specified T-MSIS picture format: S9(5).

Measure ID	Measure Name
FFS-5-011-29	Average # of long-term care days, exclude 0
FFS-5-012-12	% of claim headers with Leave Days
FFS-7-011-19	Average # of long-term care days, exclude 0
FFS-7-012-12	% of claim headers with Leave Days
MCR-5-011-20	Average # of long-term care days, exclude 0
MCR-5-012-12	% of claim headers with Leave Days
MCR-7-011-19	Average # of long-term care days, exclude 0
MCR-7-012-12	% of claim headers with Leave Days
MIS-4-023-23	% missing: LEAVE-DAYS (CLT00002)
MIS-23-024-24	% missing: LEAVE-DAYS (CLT00002)
MIS-81-024-24	% missing: LEAVE-DAYS (CLT00002)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
06/19/2025	4.0.11	CLT.002.148	UPDATE	Coding requirement	1. Value must be numeric2. Value must be 5 digits or less3. ConditionalValue must be populated when Type of Service (CLT.003.211) is in [009,045,046,047,059](Intermediate Care Facility for Individuals with Intellectual Disabilities)	1. Value must be numeric2. Value must be 5 digits or less3. Conditional4. Value must be populated when Type of Service (CLT.003.211) is in [009,045,046,047,059](Intermediate Care Facility for Individuals with Intellectual Disabilities)
06/05/2025	4.0.10	CLT.002.148	UPDATE	Coding requirement	1. Value must be numeric2. Value must be 5 digits or less3. Conditional4. (Intermediate Care Facility for Individuals with Intellectual Disabilities) value is required when Type of Service (CLT.003.211) in [009,045,046,047,059]	1. Value must be numeric2. Value must be 5 digits or less3. ConditionalValue must be populated when Type of Service (CLT.003.211) is in [009,045,046,047,059](Intermediate Care Facility for Individuals with Intellectual Disabilities)
09/16/2024	4.0.0	CLT.002.148	UPDATE	File segment	None	30
09/16/2024	4.0.0	CLT.002.148	ADD	N/A		Created