CIP.002.126

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TMSIS Dataguide

Medicaid.gov

Version 3.36.0

FUNDING-CODE

Data Element

DE Number

CIP126

System DE Number

CIP.002.126

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	A code to indicate the source of non-federal share funds.
Size	X(2)
FLF Start Position	618
FLF Stop Position	619
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be in Funding Code List (VVL) 2. Value must be 1 character 3. Value must be populated if Type of Claim is not equal to [3,C,W,6] 4. 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-556	If the funding code is populated on a non-denied claim from an IP file, then the funding code reported must be found in the list of valid values.
RULE-6620	If a claim line is a non-denied claim line from an IP file, then the funding code value reported must be compatible with specified T-MSIS picture format: X(2).

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CLT076	CLT.002.076	FUNDING-CODE	CLT00002	CLAIM-HEADER-RECORD-LT
COT062	COT.002.062	FUNDING-CODE	COT00002	CLAIM-HEADER-RECORD-OT
CRX053	CRX.002.053	FUNDING-CODE	CRX00002	CLAIM-HEADER-RECORD-RX

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/12/2024	3.29.0	CIP.002.126	UPDATE	Coding requirement	1. Value must be in Funding Code List (VVL)2. Value must be 1 character3. Value must be populated if TYPE-OF-CLAIM <> ‘3', ‘C’, ‘W’, or '6’4. Conditional	1. Value must be in Funding Code List (VVL)2. Value must be 1 character3. Value must be populated if Type of Claim is not equal to [3,C,W,6]4. Conditional
06/02/2023	3.8.0	CIP.002.126	UPDATE	Coding requirement	1. Value must be in Funding Code List (VVL)2. Value must be 1 character3. Only required if Type-of-claim is not equal to '3', 'C', 'W', '6'4. Conditional	1. Value must be in Funding Code List (VVL)2. Value must be 1 character3. Value must be populated if TYPE-OF-CLAIM <> ‘3', ‘C’, ‘W’, or '6’4. Conditional
06/01/2023	3.8.0	CIP.002.126	UPDATE	Coding requirement	Value must be in Funding Code List (VVL)2. Value must be 1 character3. Conditional	1. Value must be in Funding Code List (VVL)2. Value must be 1 character3. Only required if Type-of-claim is not equal to '3', 'C', 'W', '6'4. Conditional
05/31/2023	3.8.0	CIP.002.126	UPDATE	Necessity	Mandatory	Conditional
05/31/2023	3.8.0	CIP.002.126	UPDATE	Coding requirement	1. Value must be in Funding Code List (VVL)2. Value must be 1 character3. Mandatory	Value must be in Funding Code List (VVL)2. Value must be 1 character3. Conditional