CIP.002.136

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TMSIS Dataguide

Medicaid.gov

Version 3.36.0

MEDICAID-COV-INPATIENT-DAYS

Data Element

DE Number

CIP136

System DE Number

CIP.002.136

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 number of days covered by Medicaid on this claim. For states that combine delivery/birth services on a single claim, include covered days for both the mother and the neonate in this field.
Size	S9(7)
FLF Start Position	658
FLF Stop Position	664
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be a positive integer 2. Value must be between 0:99999999999 (inclusive) 3. Conditional 4. Value must be less than or equal to double the number of days between Admission Date Discharge Date (CIP.002.094) and Discharge Date Discharge Date (CIP.002.096) plus one day 5. Value must be 7 digits or less 6. Value is required if the associated Type of Service (CIP.002.257) is in [001,058,060,084,086,090,091,092,093,123,132] 7. Value is required if at least one associated Revenue Code (CIP.003.245) is in [100-219]

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

RULE ID	RULE Definition
RULE-574	If a claim is a non-denied claim from an IP file, then the Medicaid coverage inpatient days value reported must must be compatible with specified T-MSIS picture format: S9(7)
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.

Measure ID	Measure Name
MIS-2-032-32	% missing: MEDICAID-COV-INPATIENT-DAYS (CIP00002)
MIS-21-034-34	% missing: MEDICAID-COV-INPATIENT-DAYS (CIP00002)
MIS-79-034-34	% missing: MEDICAID-COV-INPATIENT-DAYS (CIP00002)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CLT086	CLT.002.086	MEDICAID-COV-INPATIENT-DAYS	CLT00002	CLAIM-HEADER-RECORD-LT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/12/2024	3.29.0	CIP.002.136	UPDATE	Coding requirement	1. Value must be a positive integer2. Value must be between 0:99999999999 (inclusive)3. Conditional4. Value must be less than or equal to double the number of days between Admission Date Discharge Date (CIP.002.094) and Discharge Date Discharge Date (CIP.002.096) plus one day5. Value must be 7 digits or less6. Value is required if the associated Type of Service (CIP.002.257) is in [001, 058, 060, 084, 086, 090, 091, 092, 093, 123, 132]7. Value is required if at least one associated Revenue Code (CIP.003.245) is in [100-219]	1. Value must be a positive integer2. Value must be between 0:99999999999 (inclusive)3. Conditional4. Value must be less than or equal to double the number of days between Admission Date Discharge Date (CIP.002.094) and Discharge Date Discharge Date (CIP.002.096) plus one day5. Value must be 7 digits or less6. Value is required if the associated Type of Service (CIP.002.257) is in [001,058,060,084,086,090,091,092,093,123,132]7. Value is required if at least one associated Revenue Code (CIP.003.245) is in [100-219]