CLT.002.149

NURSING-FACILITY-DAYS

Data Element

DE Number

CLT149

System DE Number

CLT.002.149

File Name

CLT - CLAIM LONG-TERM CARE

File Segment Number

CLT00002

File Segment Name

CLAIM-HEADER-RECORD-LT

Last updated

No Updates

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The number of days of nursing care included in this claim that were paid for, in whole or in part, by Medicaid. Includes days during which nursing facility received partial payment for holding a bed during patient leave days. If value exceeds 99998 days, code as 99998.
Size	S9(5)
FLF Start Position	945
FLF Stop Position	949
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be numeric 2. Value must be 5 digits or less 3. Conditional 4. When populated, value must be less than or equal to the number of days between (ending date of service minus beginning date of service) plus one day 5. (nursing facility) value is required when the Type of Service in [009, 045, 047, 059] 6. When populated, if value is greater than zero, then Level of Care Status (ELG.005.088) for the associated MSIS Identification Number (CLT.002.022) must equal '003' (Nursing Facility) for the same month as the begin and end date of service

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

RULE ID	RULE Definition
RULE-1154	If a claim is a non-denied claim from an LT file, then the nursing facility days value reported must be compatible with specified T-MSIS picture format: S9(5).
RULE-1155	If beginning date of service and ending date of service are populated on a non-denied LT claim, then the nursing facility days value must be less than or equal to the days between the beginning date of service and ending date of service plus one day.

Measure ID	Measure Name
MCR-7-011-19	Average # of long-term care days, exclude 0
FFS-7-020-8	% of records with TYPE-OF-SERVICE = 59 (Skilled Nursing Facility services under 21) without NF days
FFS-7-017-5	% of records with TYPE-OF-SERVICE = 47 (Nursing Facility services other than mental Diseases) without NF days
FFS-7-015-3	% of records with TYPE-OF-SERVICE = 45 (Nursing Facility Services for 65+ for mental diseases) without NF Days
FFS-7-013-1	% of records with TYPE-OF-SERVICE = 09 (Nursing Facility Services age 21+) without NF days
MIS-81-031-31	% missing: NURSING-FACILITY-DAYS (CLT00002)
MIS-23-031-31	% missing: NURSING-FACILITY-DAYS (CLT00002)
MIS-4-029-29	% missing: NURSING-FACILITY-DAYS (CLT00002)
MCR-7-020-8	% of claim headers with TYPE-OF-SERVICE = 59 (skilled nursing facility services for individuals under age 21) without nursing facility days
MCR-7-017-5	% of claim headers with TYPE-OF-SERVICE = 47 (nursing facility services other than mental diseases) without nursing facility days
MCR-7-015-3	% of claim headers with TYPE-OF-SERVICE = 45 (nursing facility services for individuals aged 65+ in institutions for mental diseases) without nursing facility days
MCR-7-013-1	% of claim headers with TYPE-OF-SERVICE = 09 (nursing facility services age 21+) without nursing facility days
FFS-5-011-29	Average # of long-term care days, exclude 0
MCR-5-021-8	% of claim headers with TYPE-OF-SERVICE = 59 (skilled nursing facility services for individuals under age 21) without nursing facility days
MCR-5-018-5	% of claim headers with TYPE-OF-SERVICE = 47 (nursing facility services other than mental diseases) without nursing facility days
MCR-5-016-3	% of claim headers with TYPE-OF-SERVICE = 45 (nursing facility services for individuals aged 65+ in institutions for mental diseases) without nursing facility days
MCR-5-014-1	% of claim headers with TYPE-OF-SERVICE = 09 (nursing facility services age 21+) without nursing facility days
MCR-5-011-20	Average # of long-term care days, exclude 0
FFS-7-011-19	Average # of long-term care days, exclude 0
FFS-5-029-8	% of claim headers with TYPE-OF-SERVICE = 59 (skilled nursing facility services for individuals under age 21) without nursing facility days
FFS-5-023-5	% of claim headers with TYPE-OF-SERVICE = 47 (nursing facility services other than mental diseases) without nursing facility days
FFS-5-019-3	% of claim headers with TYPE-OF-SERVICE = 45 (nursing facility services for individuals aged 65+ in institutions for mental diseases) without nursing facility days
FFS-5-015-1	% of claim headers with TYPE-OF-SERVICE = 09 (nursing facility services age 21+) without nursing facility days

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