CLT.002.145

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TMSIS Dataguide

Medicaid.gov

Version 3.27.0

LTC-RCP-LIAB-AMT

Data Element

DE Number

CLT145

System DE Number

CLT.002.145

File Name

CLT - CLAIM LONG-TERM CARE

File Segment Number

File Segment Name

CLAIM-HEADER-RECORD-LT

Last updated

No Updates

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The total amount paid by the patient for services where they are required to use their personal funds to cover part of their care before Medicaid funds can be utilized.
Size	S9(11)V99
FLF Start Position	915
FLF Stop Position	927
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be between -99999999999.99 and 99999999999.99 2. Value must be expressed as a number with 2-digit precision (e.g. 100.50 ) 3. 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-1146	If a claim is a non-denied claim from an LT file, then the LTC RCP liability amount value reported must be compatible with specified T-MSIS picture format: S9(11)V99.

Measure ID	Measure Name
FFS-5-013-24	% of claim headers with patient liability
MCR-5-013-15	% of claim headers with patient liability
MIS-4-024-24	% missing: LTC-RCP-LIAB-AMT (CLT00002)
MIS-23-025-25	% missing: LTC-RCP-LIAB-AMT (CLT00002)
MIS-81-025-25	% missing: LTC-RCP-LIAB-AMT (CLT00002)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name

Published Date	Data Guide Version	Data Element	Action	Field	Before	After