CIP.002.096

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TMSIS Dataguide

Medicaid.gov

Version 3.28.0

DISCHARGE-DATE

Data Element

DE Number

CIP096

System DE Number

CIP.002.096

File Name

CIP - CLAIM INPATIENT

File Segment Number

File Segment Name

CLAIM-HEADER-RECORD-IP

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The date on which the recipient was discharged from a hospital.
Size	9(8)
FLF Start Position	425
FLF Stop Position	432
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 8 characters in the form "CCYYMMDD" 2. The date must be a valid calendar date (i.e. Feb 29th only on the leap year, never April 31st or Sept 31st) 3. Value must be less than or equal to associated Adjudication Date value. 4. Value must be greater than or equal to associated Admission Date value. 5. Value must be greater than or equal to associated eligible Date of Birth value. 6. Value must be less than or equal to associated eligible Date of Death value. 7. Conditional 8. If associated Adjustment Indicator (CIP.002.026) does not equal "1" (Non-denied claims) and Patient Status (CIP.002.199) is not equal to "30" value must be populated. 9. When populated, Discharge Hour (CIP.002.097) must be populated

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

RULE ID	RULE Definition
RULE-494	If discharge date and admission date are populated on a non-denied claim from an IP file, then the admission date value reported must be before or equal to the discharge date value reported.
RULE-497	If a claim is a non-denied claim from an IP file, then the discharge date value reported must be a valid date of the form CCYYMMDD.
RULE-500	If discharge date and adjudication date are populated on a non-denied claim from an IP file, then the discharge date value reported must be before or equal to the adjudication date value reported.
RULE-501	If discharge hour is populated on a non-denied claim from an IP file, then discharge date must also be populated.
RULE-502	If a non-denied IP claim has a value populated for discharge date and the date of death is populated on the primary demographics eligibility segment, then the discharge date must be less than or equal to the date of death.
RULE-575	If Medicaid covered inpatient days, admission date, and discharge date are populated on a non-denied claim from an IP file, then the Medicaid covered inpatient days value reported must be less than or equal to double the number of days between admission date reported and discharge date reported, plus one day.
RULE-7211	If a claim is a non-denied claim and is an original claim or a replacement/resubmission claim payment from an IP file, and is a Medicaid or Medicaid-expansion CHIP FFS, Medicaid or Medicaid-expansion CHIP Encounter, separate CHIP FFS or separate CHIP Encounter claim, and the patient is not still a patient, then the discharge date must be populated.
RULE-7383	If a claim is a non-denied, non-void claim from an IP file, and is a Medicaid/Medicaid-expansion CHIP or S-CHIP service tracking claim and is an original claim or a replacement/resubmission claim payment then the claim discharge date must be populated.
RULE-7714	If a claim is a non-denied claim and is an original claim or a replacement/resubmission claim payment from an IP file, and is a Medicaid or Medicaid-expansion CHIP Encounter or separate CHIP Encounter claim, and the beneficiary is not a patient or expected to return for outpatient services, then the claim header discharge date must be populated.
RULE-7805	If a claim is a non-denied claim and is an original claim or a replacement/resubmission claim payment from an IP file, and is a Medicaid or Medicaid-expansion CHIP Fee for Service or Separate CHIP Fee for Service claim, and the beneficiary is not a patient or expected to return for outpatient services, then the claim header discharge date must be populated.

Measure ID	Measure Name
FFS-47-001-1	% of claims for which Patient Status is NOT "still a patient" but are missing Discharge Date
FFS-48-001-1	% of claims for which Patient Status is NOT "still a patient" but are missing Discharge Date
MCR-56-001-1	% of claims for which Patient Status is NOT "still a patient" but are missing Discharge Date
MCR-57-001-1	% of claims for which Patient Status is NOT "still a patient" but are missing Discharge Date
MIS-2-026-26	% missing: DISCHARGE-DATE (CIP00002)
MIS-55-002-2	% missing: DISCHARGE-DATE (CIP00002)
RULE-689	% of claim headers with a Billing Provider Number that is not found on the provider file during the dates of service
MIS-21-027-27	% missing: DISCHARGE-DATE (CIP00002)
MIS-79-027-27	% missing: DISCHARGE-DATE (CIP00002)
RULE-7383	% missing: DISCHARGE-DATE (CIP00002)
MCR-56P-001-1	% of claims for which Patient Status is NOT "still a patient" but are missing Discharge Date, by Plan ID
MCR-56R-001-1	% of Plan IDs over the threshold for MCR-56P-001-1 (% of claims for which Patient Status is NOT "still a patient" but are missing Discharge Date, by Plan ID)
RULE-7805	% of claims for which Patient Status is NOT "still a patient" but are missing Discharge Date

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CLT046	CLT.002.046	DISCHARGE-DATE	CLT00002	CLAIM-HEADER-RECORD-LT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
08/14/2023	3.12.0	CIP.002.096	UPDATE	Coding requirement	1. Value must be 8 characters in the form "CCYYMMDD"2. The date must be a valid calendar date (i.e. Feb 29th only on the leap year, never April 31st or Sept 31st)3. Value must be less than or equal to associated Adjudication Date (CE) value.4. Value must be greater than or equal to associated Admission Date (CE) value.5. Value must be greater than or equal to associated eligible Date of Birth (CE) value.6. Value must be less than or equal to associated eligible Date of Death (CE) value.7. Conditional8. If associated Adjustment Indicator (CIP.002.026) does not equal "1" (Non-denied claims) and Patient Status (CIP.002.199) is not equal to "30" value must be populated.9. When populated, Discharge Hour (CIP.002.097) must be populated	1. Value must be 8 characters in the form "CCYYMMDD"2. The date must be a valid calendar date (i.e. Feb 29th only on the leap year, never April 31st or Sept 31st)3. Value must be less than or equal to associated Adjudication Date value.4. Value must be greater than or equal to associated Admission Date value.5. Value must be greater than or equal to associated eligible Date of Birth value.6. Value must be less than or equal to associated eligible Date of Death value.7. Conditional8. If associated Adjustment Indicator (CIP.002.026) does not equal "1" (Non-denied claims) and Patient Status (CIP.002.199) is not equal to "30" value must be populated.9. When populated, Discharge Hour (CIP.002.097) must be populated