CLT.002.257

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TMSIS Dataguide

Medicaid.gov

Version:

TOT-GME-AMOUNT-PAID

Data Element

DE Number

CLT257

System DE Number

CLT.002.257

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 amount included in the Total Medicaid Amount (CLT.002.065) that is attributable to a Graduate Medical Education (GME) payment, when the state makes GME payments by claim.
Size	S9(11)V99
FLF Start Position	1564
FLF Stop Position	1576
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. Situational

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

RULE ID	RULE Definition
RULE-8902	if a claim is a non-denied claim from a LT file, then the total GME amount paid value reported must be compatible with the specified T-MSIS picture format: S9(11)V99.

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP311	CIP.002.311	TOT-GME-AMOUNT-PAID	CIP00002	CLAIM-HEADER-RECORD-IP
COT249	COT.002.249	TOT-GME-AMOUNT-PAID	COT00002	CLAIM-HEADER-RECORD-OT
CRX176	CRX.002.176	TOT-GME-AMOUNT-PAID	CRX00002	CLAIM-HEADER-RECORD-RX

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
07/10/2025	4.0.13	CLT.002.257	UPDATE	Necessity	Conditional	Situational
07/10/2025	4.0.13	CLT.002.257	UPDATE	Coding requirement	1. Value must be between -99999999999.99 and 99999999999.992. Value must be expressed as a number with 2-digit precision (e.g. 100.50)3. Conditional	1. Value must be between -99999999999.99 and 99999999999.992. Value must be expressed as a number with 2-digit precision (e.g. 100.50)3. Situational
09/16/2024	4.0.0	CLT.002.257	UPDATE	File segment	None	30
09/16/2024	4.0.0	CLT.002.257	ADD	N/A		Created