CIP.002.204

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TMSIS Dataguide

Medicaid.gov

Version 3.27.0

BORDER-STATE-IND

Data Element

DE Number

CIP204

System DE Number

CIP.002.204

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 whether an individual received services or equipment across state borders. (The provider location is out of state, but for payment purposes the provider is treated as an in-state provider.)
Size	X(1)
FLF Start Position	1197
FLF Stop Position	1197
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 1 character 2. Value must be in [0, 1] or not populated 3. Value must be in Border State Indicator List (VVL) 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-6330	If a claim is a non-denied claim from an IP file, then the bored state indicator value reported must be compatible with specified T-MSIS picture format: X(1).
RULE-724	If the border state indicator is populated on a non-denied claim from an IP file, then the border state indicator value reported must be in the list of valid values.

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CLT151	CLT.002.151	BORDER-STATE-IND	CLT00002	CLAIM-HEADER-RECORD-LT
COT128	COT.002.128	BORDER-STATE-IND	COT00002	CLAIM-HEADER-RECORD-OT
CRX082	CRX.002.082	BORDER-STATE-IND	CRX00002	CLAIM-HEADER-RECORD-RX

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
08/01/2023	3.11.0	CIP.002.204	UPDATE	Coding requirement	1. Value must be 1 character2. Value must be in [0, 1] or not populated3. Value must be in Border State Indicator List (VVL)4. Value must be 1 character5. Conditional	1. Value must be 1 character2. Value must be in [0, 1] or not populated3. Value must be in Border State Indicator List (VVL)4. Conditional