CLT.002.091

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TMSIS Dataguide

Medicaid.gov

Version 3.28.0

HEALTH-CARE-ACQUIRED-CONDITION-IND

Data Element

DE Number

CLT091

System DE Number

CLT.002.091

File Name

CLT - CLAIM LONG-TERM CARE

File Segment Number

File Segment Name

CLAIM-HEADER-RECORD-LT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	This code indicates whether the claim has a Health Care Acquired Condition. For additional coding information refer to the following site : https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/index.html?redirect=/hospitalacqcond/05_Coding.asp#TopOfPage
Size	X(1)
FLF Start Position	482
FLF Stop Position	482
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 Healthcare Acquired Condition 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-1018	If the health care acquired condition indicator is populated on a non-denied claim from an LT file, then the health care acquired condition indicator value reported must be in the list of valid values for 'health care acquired condition ind'.
RULE-6415	If a claim is a non-denied claim from an LT file, then the health care acquired condition indicator value reported must be compatible with specified T-MSIS picture format: X(1).

Measure ID	Measure Name
MIS-4-019-19	% missing: HEALTH-CARE-ACQUIRED-CONDITION-IND (CLT00002)
MIS-23-020-20	% missing: HEALTH-CARE-ACQUIRED-CONDITION-IND (CLT00002)
MIS-81-020-20	% missing: HEALTH-CARE-ACQUIRED-CONDITION-IND (CLT00002)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP139	CIP.002.139	HEALTH-CARE-ACQUIRED-CONDITION-IND	CIP00002	CLAIM-HEADER-RECORD-IP
COT073	COT.002.073	HEALTH-CARE-ACQUIRED-CONDITION-IND	COT00002	CLAIM-HEADER-RECORD-OT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
08/01/2023	3.11.0	CLT.002.091	UPDATE	Coding requirement	1. Value must be 1 character2. Value must be in [0, 1] or not populated3. Value must be in Healthcare Acquired Condition 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 Healthcare Acquired Condition Indicator List (VVL).4. Conditional