CRX.003.193

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TMSIS Dataguide

Medicaid.gov

Version:

GME-AMOUNT-PAID

Data Element

DE Number

CRX193

System DE Number

CRX.003.193

File Name

CRX - CLAIM PHARMACY

File Segment Number

File Segment Name

CLAIM-LINE-RECORD-RX

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The amount included in the Medicaid Amount (CRX.003.125) 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	655
FLF Stop Position	667
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

RULE ID	RULE Definition
RULE-9038	If a claim is a non-denied claim from a RX file, then the 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
CIP317	CIP.003.317	GME-AMOUNT-PAID	CIP00003	CLAIM-LINE-RECORD-IP
CLT263	CLT.003.263	GME-AMOUNT-PAID	CLT00003	CLAIM-LINE-RECORD-LT
COT265	COT.003.265	GME-AMOUNT-PAID	COT00003	CLAIM-LINE-RECORD-OT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/16/2024	4.0.0	CRX.003.193	UPDATE	File segment	None	41
09/16/2024	4.0.0	CRX.003.193	ADD	N/A		Created