An official website of the United States government

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock () or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

TMSIS Dataguide Medicaid.gov

Version:

3.38.0

TOT-SDP-ALLOWED-AMT

Data Element

DE Number

CLT258

System DE Number

CLT.002.258

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 component (in dollar and cents) of the total allowed amount that represents the difference between what would have been the managed care plan's typical contractual allowed amount and the enhanced allowed amount for this specific claim as defined by the State's SPA, waiver, or demonstration for a State Directed Payment model per 42 CFR 438.6(c)(1)(iii).
Size S9(11)V99
FLF Start Position 1577
FLF Stop Position 1589
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
CIP338 CIP.002.338 TOT-SDP-ALLOWED-AMT CIP00002 CLAIM-HEADER-RECORD-IP
COT252 COT.002.252 TOT-SDP-ALLOWED-AMT COT00002 CLAIM-HEADER-RECORD-OT
CRX177 CRX.002.177 TOT-SDP-ALLOWED-AMT CRX00002 CLAIM-HEADER-RECORD-RX