CLT.003.211

TYPE-OF-SERVICE

Data Element

DE Number

CLT211

System DE Number

CLT.003.211

File Name

CLT - CLAIM LONG-TERM CARE

File Segment Number

CLT00003

File Segment Name

CLAIM-LINE-RECORD-LT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	A code to categorize the services provided to a Medicaid or CHIP enrollee.
Size	X(3)
FLF Start Position	287
FLF Stop Position	289
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 3 characters 2. Mandatory 3. Value must be in ['009', '044', '045', '046', '047', '048', '050', '059', '133', '136', '137', '146', '147']

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

RULE ID	RULE Definition
RULE-1243	If the type of service is populated on a non-denied claim line from an LT file, then the type of service value reported must be in the list of valid values for type of service.
RULE-1244	If the type of service is populated on a non-denied claim line from an LT file, then the type of service must be from a valid list of values for long-term care services: '009', '044', '045', '046', '047', '048', '050', '059', '133', '136', '137', '146', '147'.
RULE-6689	If a claim line is a non-denied claim line from an LT file, then the type of service value reported must be compatible with specified T-MSIS picture format: X(3).
RULE-7259	If a claim is on a non-denied claim that is an original or encounter payment or is a replacement or resubmission claim or encounter payment from an LT file, and is a Medicaid or Medicaid-expansion CHIP FFS, Medicaid or Medicaid-expansion CHIP Encounter, separate CHIP FFS or separate CHIP Encounter claim, then the claim line type of service must be populated.
RULE-7738	If a claim is on a non-denied claim that is an original or encounter payment or is a replacement or resubmission claim or encounter payment from an LT file, and is a Medicaid or Medicaid-expansion CHIP Encounter or Separate CHIP Encounter claim then the claim line type of service must be populated.
RULE-7894	If a claim is a non-denied claim that is an original or replacement/resubmission claim from an LT file, and is a Medicaid or Medicaid-expansion CHIP FFS or Separate CHIP FFS claim then the claim line type of service must be populated.

Measure ID	Measure Name
ALL-29-001-1	Type of Service values
FFS-5-015-1	% of claim headers with TYPE-OF-SERVICE = 09 (nursing facility services age 21+) without nursing facility days
FFS-5-017-2	% of claim headers with TYPE-OF-SERVICE = 44 (inpatient hospital services for individuals age 65 or older for mental diseases) without inpatient 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-5-021-4	% of claim headers with TYPE-OF-SERVICE = 46 (intermediate care facility (ICF/IIDICF/IID) services) without intermediate care 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-5-025-6	% of claim headers with TYPE-OF-SERVICE = 48 (inpatient psychiatric services for individuals under age 21) without inpatient days
FFS-5-027-7	% of claim headers with TYPE-OF-SERVICE = 50 (inpatient and residential substance abuse) without inpatient days
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
MCR-5-014-1	% of claim headers with TYPE-OF-SERVICE = 09 (nursing facility services age 21+) without nursing facility days
MCR-5-015-2	% of claim headers with TYPE-OF-SERVICE = 44 (inpatient hospital services for individuals aged 65+ for mental diseases) without inpatient 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-5-017-4	% of claim headers with TYPE-OF-SERVICE = 46 (intermediate care facility (ICF/IIDICF/IID) services) without intermediate care 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-5-019-6	% of claim headers with TYPE-OF-SERVICE = 48 (inpatient psychiatric services for individuals under age 21) without inpatient days
MCR-5-020-7	% of claim headers with TYPE-OF-SERVICE = 50 (inpatient and residential substance abuse) without inpatient days
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-7-013-1	% of claim headers with TYPE-OF-SERVICE = 09 (nursing facility services age 21+) without nursing facility days
MCR-7-014-2	% of claim headers with TYPE-OF-SERVICE = 44 (inpatient hospital services for individuals aged 65+ for mental diseases) without inpatient 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-7-016-4	% of claim headers with TYPE-OF-SERVICE = 46 (intermediate care facility (ICF/IIDICF/IID) services) without intermediate care 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-7-018-6	% of claim headers with TYPE-OF-SERVICE = 48 (inpatient psychiatric services for individuals under age 21) without inpatient days
MCR-7-019-7	% of claim headers with TYPE-OF-SERVICE = 50 (inpatient and residential substance abuse) without inpatient days
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
MIS-5-019-19	% missing: TYPE-OF-SERVICE (CLT00003)
MIS-24-018-18	% missing: TYPE-OF-SERVICE (CLT00003)
MIS-82-017-17	% missing: TYPE-OF-SERVICE (CLT00003)
RULE-7581	% of claim lines with TYPE-OF-SERVICE = 133 (Supplemental payment – nursing) that are not on a service tracking claim
EXP-10-001-25	Total paid for TYPE-OF-SERVICE = 9 (Nursing facility services; age 21 or older)
EXP-10-002-18	Total paid for TYPE-OF-SERVICE = 44 (Inpatient hospital services for individuals age 65 or older in institutions for mental diseases)
EXP-10-003-19	Total paid for TYPE-OF-SERVICE = 45 (Nursing facility services for individuals age 65 or older in institutions for mental diseases)
EXP-10-004-20	Total paid for TYPE-OF-SERVICE = 46 (Intermediate care facility (ICF/IIDICF/IID) services)
EXP-10-005-21	Total paid for TYPE-OF-SERVICE = 47 (Nursing facility services, other than in institutions for mental diseases)
EXP-10-006-22	Total paid for TYPE-OF-SERVICE = 48 (Inpatient psychiatric services for individuals under age 21)
EXP-10-007-23	Total paid for TYPE-OF-SERVICE = 50 (Inpatient substance abuse treatment services and residential substance abuse treatment services.)
EXP-10-008-24	Total paid for TYPE-OF-SERVICE = 59 (Skilled nursing facility services for individuals under age 21)
EXP-10-009-17	Average paid per record for TYPE-OF-SERVICE = 9 (Nursing facility services; age 21 or older)
EXP-10-010-10	Average paid per record for TYPE-OF-SERVICE = 44 (Inpatient hospital services for individuals age 65 or older in institutions for mental diseases)
EXP-10-011-11	Average paid per record for TYPE-OF-SERVICE = 45 (Nursing facility services for individuals age 65 or older in institutions for mental diseases)
EXP-10-012-12	Average paid per record for TYPE-OF-SERVICE = 46 (Intermediate care facility (ICF/IIDICF/IID) services)
EXP-10-013-13	Average paid per record for TYPE-OF-SERVICE = 47 (Nursing facility services, other than in institutions for mental diseases)
EXP-10-014-14	Average paid per record for TYPE-OF-SERVICE = 48 (Inpatient psychiatric services for individuals under age 21)
EXP-10-015-15	Average paid per record for TYPE-OF-SERVICE = 50 (Inpatient substance abuse treatment services and residential substance abuse treatment services.)
EXP-10-016-16	Average paid per record for TYPE-OF-SERVICE = 59 (Skilled nursing facility services for individuals under age 21)
EXP-10-017-9	Average paid per Long-Term Care day for TYPE-OF-SERVICE = 9 (Nursing facility services; age 21 or older)
EXP-10-018-2	Average paid per Long-Term Care day for TYPE-OF-SERVICE = 44 (Inpatient hospital services for individuals age 65 or older in institutions for mental diseases)
EXP-10-019-3	Average paid per Long-Term Care day for TYPE-OF-SERVICE = 45 (Nursing facility services for individuals age 65 or older in institutions for mental diseases)
EXP-10-020-4	Average paid per Long-Term Care day for TYPE-OF-SERVICE = 46 (Intermediate care facility (ICF/IIDICF/IID) services)
EXP-10-021-5	Average paid per Long-Term Care day for TYPE-OF-SERVICE = 47 (Nursing facility services, other than in institutions for mental diseases)
EXP-10-022-6	Average paid per Long-Term Care day for TYPE-OF-SERVICE = 48 (Inpatient psychiatric services for individuals under age 21)
EXP-10-023-7	Average paid per Long-Term Care day for TYPE-OF-SERVICE = 50 (Inpatient substance abuse treatment services and residential substance abuse treatment services.)
EXP-10-024-8	Average paid per Long-Term Care day for TYPE-OF-SERVICE = 59 (Skilled nursing facility services for individuals under age 21)
EXP-10-025-1	Average paid per Long-Term Care day for TYPE-OF-SERVICE = 133 (Supplemental payment - nursing)
EXP-6-002-29	Total paid for TYPE-OF-SERVICE = 9 (Nursing facility services; age 21 or older)
EXP-6-003-22	Total paid for TYPE-OF-SERVICE = 44 (Inpatient hospital services for individuals age 65 or older in institutions for mental diseases)
EXP-6-004-23	Total paid for TYPE-OF-SERVICE = 45 (Nursing facility services for individuals age 65 or older in institutions for mental diseases)
EXP-6-005-24	Total paid for TYPE-OF-SERVICE = 46 (Intermediate care facility (ICF/IIDICF/IID) services)
EXP-6-006-25	Total paid for TYPE-OF-SERVICE = 47 (Nursing facility services, other than in institutions for mental diseases)
EXP-6-007-26	Total paid for TYPE-OF-SERVICE = 48 (Inpatient psychiatric services for individuals under age 21)
EXP-6-008-27	Total paid for TYPE-OF-SERVICE = 50 (Inpatient substance abuse treatment services and residential substance abuse treatment services.)
EXP-6-009-28	Total paid for TYPE-OF-SERVICE = 59 (Skilled nursing facility services for individuals under age 21)
EXP-6-011-20	Average paid per record for TYPE-OF-SERVICE = 9 (Nursing facility services; age 21 or older)
EXP-6-012-13	Average paid per record for TYPE-OF-SERVICE = 44 (Inpatient hospital services for individuals age 65 or older in institutions for mental diseases)
EXP-6-013-14	Average paid per record for TYPE-OF-SERVICE = 45 (Nursing facility services for individuals age 65 or older in institutions for mental diseases)
EXP-6-014-15	Average paid per record for TYPE-OF-SERVICE = 46 (Intermediate care facility (ICF/IIDICF/IID) services)
EXP-6-015-16	Average paid per record for TYPE-OF-SERVICE = 47 (Nursing facility services, other than in institutions for mental diseases)
EXP-6-016-17	Average paid per record for TYPE-OF-SERVICE = 48 (Inpatient psychiatric services for individuals under age 21)
EXP-6-017-18	Average paid per record for TYPE-OF-SERVICE = 50 (Inpatient substance abuse treatment services and residential substance abuse treatment services.)
EXP-6-018-19	Average paid per record for TYPE-OF-SERVICE = 59 (Skilled nursing facility services for individuals under age 21)
EXP-6-019-12	Average paid per Long-Term Care day for TYPE-OF-SERVICE = 9 (Nursing facility services; age 21 or older)
EXP-6-020-5	Average paid per Long-Term Care day for TYPE-OF-SERVICE = 44 (Inpatient hospital services for individuals age 65 or older in institutions for mental diseases)
EXP-6-021-6	Average paid per Long-Term Care day for TYPE-OF-SERVICE = 45 (Nursing facility services for individuals age 65 or older in institutions for mental diseases)
EXP-6-022-7	Average paid per Long-Term Care day for TYPE-OF-SERVICE = 46 (Intermediate care facility (ICF/IIDICF/IID) services)
EXP-6-023-8	Average paid per Long-Term Care day for TYPE-OF-SERVICE = 47 (Nursing facility services, other than in institutions for mental diseases)
EXP-6-024-9	Average paid per Long-Term Care day for TYPE-OF-SERVICE = 48 (Inpatient psychiatric services for individuals under age 21)
EXP-6-025-10	Average paid per Long-Term Care day for TYPE-OF-SERVICE = 50 (Inpatient substance abuse treatment services and residential substance abuse treatment services.)
EXP-6-026-11	Average paid per Long-Term Care day for TYPE-OF-SERVICE = 59 (Skilled nursing facility services for individuals under age 21)
EXP-6-027-4	Average paid per Long-Term Care day for TYPE-OF-SERVICE = 133 (Supplemental payment - nursing)
EXP-7-001-27	Total paid for TYPE-OF-SERVICE = 9 (Nursing facility services; age 21 or older)
EXP-7-002-20	Total paid for TYPE-OF-SERVICE = 44 (Inpatient hospital services for individuals age 65 or older in institutions for mental diseases)
EXP-7-003-21	Total paid for TYPE-OF-SERVICE = 45 (Nursing facility services for individuals age 65 or older in institutions for mental diseases)
EXP-7-004-22	Total paid for TYPE-OF-SERVICE = 46 (Intermediate care facility (ICF/IIDICF/IID) services)
EXP-7-005-23	Total paid for TYPE-OF-SERVICE = 47 (Nursing facility services, other than in institutions for mental diseases)
EXP-7-006-24	Total paid for TYPE-OF-SERVICE = 48 (Inpatient psychiatric services for individuals under age 21)
EXP-7-007-25	Total paid for TYPE-OF-SERVICE = 50 (Inpatient substance abuse treatment services and residential substance abuse treatment services.)
EXP-7-008-26	Total paid for TYPE-OF-SERVICE = 59 (Skilled nursing facility services for individuals under age 21)
EXP-7-010-19	Average paid per record for TYPE-OF-SERVICE = 9 (Nursing facility services; age 21 or older)
EXP-7-011-12	Average paid per record for TYPE-OF-SERVICE = 44 (Inpatient hospital services for individuals age 65 or older in institutions for mental diseases)
EXP-7-012-13	Average paid per record for TYPE-OF-SERVICE = 45 (Nursing facility services for individuals age 65 or older in institutions for mental diseases)
EXP-7-013-14	Average paid per record for TYPE-OF-SERVICE = 46 (Intermediate care facility (ICF/IIDICF/IID) services)
EXP-7-014-15	Average paid per record for TYPE-OF-SERVICE = 47 (Nursing facility services, other than in institutions for mental diseases)
EXP-7-015-16	Average paid per record for TYPE-OF-SERVICE = 48 (Inpatient psychiatric services for individuals under age 21)
EXP-7-016-17	Average paid per record for TYPE-OF-SERVICE = 50 (Inpatient substance abuse treatment services and residential substance abuse treatment services.)
EXP-7-017-18	Average paid per record for TYPE-OF-SERVICE = 59 (Skilled nursing facility services for individuals under age 21)
EXP-7-018-11	Average paid per Long-Term Care day for TYPE-OF-SERVICE = 9 (Nursing facility services; age 21 or older)
EXP-7-019-4	Average paid per Long-Term Care day for TYPE-OF-SERVICE = 44 (Inpatient hospital services for individuals age 65 or older in institutions for mental diseases)
EXP-7-020-5	Average paid per Long-Term Care day for TYPE-OF-SERVICE = 45 (Nursing facility services for individuals age 65 or older in institutions for mental diseases)
EXP-7-021-6	Average paid per Long-Term Care day for TYPE-OF-SERVICE = 46 (Intermediate care facility (ICF/IIDICF/IID) services)
EXP-7-022-7	Average paid per Long-Term Care day for TYPE-OF-SERVICE = 47 (Nursing facility services, other than in institutions for mental diseases)
EXP-7-023-8	Average paid per Long-Term Care day for TYPE-OF-SERVICE = 48 (Inpatient psychiatric services for individuals under age 21)
EXP-7-024-9	Average paid per Long-Term Care day for TYPE-OF-SERVICE = 50 (Inpatient substance abuse treatment services and residential substance abuse treatment services.)
EXP-7-025-10	Average paid per Long-Term Care day for TYPE-OF-SERVICE = 59 (Skilled nursing facility services for individuals under age 21)
EXP-7-026-3	Average paid per Long-Term Care day for TYPE-OF-SERVICE = 133 (Supplemental payment - nursing)
FFS-5-014-22	% of records with TYPE-OF-SERVICE = 9 (Nursing facility services; age 21 or older)
FFS-5-016-15	% of records with TYPE-OF-SERVICE = 44 (Inpatient hospital services for individuals age 65 or older in institutions for mental diseases)
FFS-5-018-16	% of records with TYPE-OF-SERVICE = 45 (Nursing facility services for individuals age 65 or older in institutions for mental diseases)
FFS-5-020-17	% of records with TYPE-OF-SERVICE = 46 (Intermediate care facility (ICF/IIDICF/IID) services)
FFS-5-022-18	% of records with TYPE-OF-SERVICE = 47 (Nursing facility services, other than in institutions for mental diseases)
FFS-5-024-19	% of records with TYPE-OF-SERVICE = 48 (Inpatient psychiatric services for individuals under age 21)
FFS-5-026-20	% of records with TYPE-OF-SERVICE = 50 (Inpatient substance abuse treatment services and residential substance abuse treatment services.)
FFS-5-028-21	% of records with TYPE-OF-SERVICE = 59 (Skilled nursing facility services for individuals under age 21)
FFS-5-030-14	% of records with TYPE-OF-SERVICE = 133 (Supplemental payment - nursing)
FFS-6-002-9	% of records with TYPE-OF-SERVICE = 9 (Nursing facility services; age 21 or older)
FFS-6-003-2	% of records with TYPE-OF-SERVICE = 44 (Inpatient hospital services for individuals age 65 or older in institutions for mental diseases)
FFS-6-004-3	% of records with TYPE-OF-SERVICE = 45 (Nursing facility services for individuals age 65 or older in institutions for mental diseases)
FFS-6-005-4	% of records with TYPE-OF-SERVICE = 46 (Intermediate care facility (ICF/IIDICF/IID) services)
FFS-6-006-5	% of records with TYPE-OF-SERVICE = 47 (Nursing facility services, other than in institutions for mental diseases)
FFS-6-007-6	% of records with TYPE-OF-SERVICE = 48 (Inpatient psychiatric services for individuals under age 21)
FFS-6-008-7	% of records with TYPE-OF-SERVICE = 50 (Inpatient substance abuse treatment services and residential substance abuse treatment services.)
FFS-6-009-8	% of records with TYPE-OF-SERVICE = 59 (Skilled nursing facility services for individuals under age 21)
FFS-6-010-1	% of records with TYPE-OF-SERVICE = 133 (Supplemental payment - nursing)
FFS-7-013-1	% of records with TYPE-OF-SERVICE = 09 (Nursing Facility Services age 21+) without NF days
FFS-7-014-2	% of records with TYPE-OF-SERVICE = 44 (Inpatient Hospital Services for Individuals age 65+ for mental diseases) without IP days
FFS-7-015-3	% of records with TYPE-OF-SERVICE = 45 (Nursing Facility Services for 65+ for mental diseases) without NF Days
FFS-7-016-4	% of records with TYPE-OF-SERVICE = 46 (Intermediate Care Facility Services) without ICF Days
FFS-7-017-5	% of records with TYPE-OF-SERVICE = 47 (Nursing Facility services other than mental Diseases) without NF days
FFS-7-018-6	% of records with TYPE-OF-SERVICE = 48 (Inpatient psychiatric services under 21) without IP days
FFS-7-019-7	% of records with TYPE-OF-SERVICE = 50 (Inpatient and residential substance abuse) without IP days
FFS-7-020-8	% of records with TYPE-OF-SERVICE = 59 (Skilled Nursing Facility services under 21) without NF days
FFS-8-002-9	% of records with TYPE-OF-SERVICE = 9 (Nursing facility services; age 21 or older)
FFS-8-003-2	% of records with TYPE-OF-SERVICE = 44 (Inpatient hospital services for individuals age 65 or older in institutions for mental diseases)
FFS-8-004-3	% of records with TYPE-OF-SERVICE = 45 (Nursing facility services for individuals age 65 or older in institutions for mental diseases)
FFS-8-005-4	% of records with TYPE-OF-SERVICE = 46 (Intermediate care facility (ICF/IIDICF/IID) services)
FFS-8-006-5	% of records with TYPE-OF-SERVICE = 47 (Nursing facility services, other than in institutions for mental diseases)
FFS-8-007-6	% of records with TYPE-OF-SERVICE = 48 (Inpatient psychiatric services for individuals under age 21)
FFS-8-008-7	% of records with TYPE-OF-SERVICE = 50 (Inpatient substance abuse treatment services and residential substance abuse treatment services.)
FFS-8-009-8	% of records with TYPE-OF-SERVICE = 59 (Skilled nursing facility services for individuals under age 21)
FFS-8-010-1	% of records with TYPE-OF-SERVICE = 133 (Supplemental payment - nursing)
MCR-6-002-8	% of records with TYPE-OF-SERVICE = 9 (Nursing facility services; age 21 or older)
MCR-6-003-1	% of records with TYPE-OF-SERVICE = 44 (Inpatient hospital services for individuals age 65 or older in institutions for mental diseases)
MCR-6-004-2	% of records with TYPE-OF-SERVICE = 45 (Nursing facility services for individuals age 65 or older in institutions for mental diseases)
MCR-6-005-3	% of records with TYPE-OF-SERVICE = 46 (Intermediate care facility (ICF/IIDICF/IID) services)
MCR-6-006-4	% of records with TYPE-OF-SERVICE = 47 (Nursing facility services, other than in institutions for mental diseases)
MCR-6-007-5	% of records with TYPE-OF-SERVICE = 48 (Inpatient psychiatric services for individuals under age 21)
MCR-6-008-6	% of records with TYPE-OF-SERVICE = 50 (Inpatient substance abuse treatment services and residential substance abuse treatment services.)
MCR-6-009-7	% of records with TYPE-OF-SERVICE = 59 (Skilled nursing facility services for individuals under age 21)
MCR-6-010-16	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 9 (Nursing facility services; age 21 or older)
MCR-6-011-9	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 44 (Inpatient hospital services for individuals age 65 or older in institutions for mental diseases)
MCR-6-012-10	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 45 (Nursing facility services for individuals age 65 or older in institutions for mental diseases)
MCR-6-013-11	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 46 (Intermediate care facility (ICF/IIDICF/IID) services)
MCR-6-014-12	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 47 (Nursing facility services, other than in institutions for mental diseases)
MCR-6-015-13	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 48 (Inpatient psychiatric services for individuals under age 21)
MCR-6-016-14	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 50 (Inpatient substance abuse treatment services and residential substance abuse treatment services.)
MCR-6-017-15	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 59 (Skilled nursing facility services for individuals under age 21)
MCR-6-018-17	Ratio of Average Medicaid FFS equivalent amount per Long-Term Care day to Average Amount Paid per Long-Term Care day for TYPE-OF-SERVICE = 9 (Nursing facility services; age 21 or older)
MCR-6-019-19	Ratio of Average Medicaid FFS equivalent amount per Long-Term Care day to Average Amount Paid per Long-Term Care day for TYPE-OF-SERVICE = 44 (Inpatient hospital services for individuals age 65 or older in institutions for mental diseases)
MCR-6-020-20	Ratio of Average Medicaid FFS equivalent amount per Long-Term Care day to Average Amount Paid per Long-Term Care day for TYPE-OF-SERVICE = 45 (Nursing facility services for individuals age 65 or older in institutions for mental diseases)
MCR-6-021-21	Ratio of Average Medicaid FFS equivalent amount per Long-Term Care day to Average Amount Paid per Long-Term Care day for TYPE-OF-SERVICE = 46 (Intermediate care facility (ICF/IIDICF/IID) services)
MCR-6-022-22	Ratio of Average Medicaid FFS equivalent amount per Long-Term Care day to Average Amount Paid per Long-Term Care day for TYPE-OF-SERVICE = 47 (Nursing facility services, other than in institutions for mental diseases)
MCR-6-023-23	Ratio of Average Medicaid FFS equivalent amount per Long-Term Care day to Average Amount Paid per Long-Term Care day for TYPE-OF-SERVICE = 48 (Inpatient psychiatric services for individuals under age 21)
MCR-6-024-24	Ratio of Average Medicaid FFS equivalent amount per Long-Term Care day to Average Amount Paid per Long-Term Care day for TYPE-OF-SERVICE = 50 (Inpatient substance abuse treatment services and residential substance abuse treatment services.)
MCR-6-025-25	Ratio of Average Medicaid FFS equivalent amount per Long-Term Care day to Average Amount Paid per Long-Term Care day for TYPE-OF-SERVICE = 59 (Skilled nursing facility services for individuals under age 21)
MCR-6-026-18	Ratio of Average Medicaid FFS equivalent amount per Long-Term Care day to Average Amount Paid per Long-Term Care day for TYPE-OF-SERVICE = 133 (Supplemental payment - nursing)
MCR-8-002-8	% of records with TYPE-OF-SERVICE = 9 (Nursing facility services; age 21 or older)
MCR-8-003-1	% of records with TYPE-OF-SERVICE = 44 (Inpatient hospital services for individuals age 65 or older in institutions for mental diseases)
MCR-8-004-2	% of records with TYPE-OF-SERVICE = 45 (Nursing facility services for individuals age 65 or older in institutions for mental diseases)
MCR-8-005-3	% of records with TYPE-OF-SERVICE = 46 (Intermediate care facility (ICF/IIDICF/IID) services)
MCR-8-006-4	% of records with TYPE-OF-SERVICE = 47 (Nursing facility services, other than in institutions for mental diseases)
MCR-8-007-5	% of records with TYPE-OF-SERVICE = 48 (Inpatient psychiatric services for individuals under age 21)
MCR-8-008-6	% of records with TYPE-OF-SERVICE = 50 (Inpatient substance abuse treatment services and residential substance abuse treatment services.)
MCR-8-009-7	% of records with TYPE-OF-SERVICE = 59 (Skilled nursing facility services for individuals under age 21)
RULE-7894	% missing: TYPE-OF-SERVICE (CLT00003)
RULE-7738	% missing: TYPE-OF-SERVICE (CLT00003)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP257	CIP.003.257	TYPE-OF-SERVICE	CIP00003	CLAIM-LINE-RECORD-IP
COT186	COT.003.186	TYPE-OF-SERVICE	COT00003	CLAIM-LINE-RECORD-OT
CRX134	CRX.003.134	TYPE-OF-SERVICE	CRX00003	CLAIM-LINE-RECORD-RX

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
06/02/2023	3.8.0	CLT.003.211	UPDATE	Coding requirement	1. Value must be 3 characters2. Mandatory3. Value must be in ['009', '044', '045', '046', '047', '048', '050', '059', '133', '136', '137', '146', '147'] when associated Claim Type is CLT (Long Term Claim)	1. Value must be 3 characters2. Mandatory3. Value must be in ['009', '044', '045', '046', '047', '048', '050', '059', '133', '136', '137', '146', '147']
05/31/2023	3.8.0	CLT.003.211	UPDATE	Coding requirement	1. Value must be 3 characters2. Mandatory3. Value must satisfy the requirements of Type of Service (Long Term Claim) List (VVL)	1. Value must be 3 characters2. Mandatory3. Value must be in ['009', '044', '045', '046', '047', '048', '050', '059', '133', '136', '137', '146', '147'] when associated Claim Type is CLT (Long Term Claim)
09/08/2023	3.12.0	CIP257, CLT211, COT186, CRX134	UPDATE	Data Dictionary - Valid Values	VALUE_SET_ID\|EFFECTIVE_DATE\|END_DATE\|VALUE\|NAME\|DESCRIPTION TYPE-OF-SERVICE\|00010101\|99991231\|005\|Professional laboratory services, Technical laboratory services\|	VALUE_SET_ID\|EFFECTIVE_DATE\|END_DATE\|VALUE\|NAME\|DESCRIPTION TYPE-OF-SERVICE\|00010101\|99991231\|005\|Professional laboratory services\|
04/17/2020	2.4.0	TYPE-OF-SERVICE CIP257, CLT211, COT186, CRX134	ADD	Data Dictionary - Valid Values	N/A	Data Element Name\| DE ID\| Code\| Description\| Effective Date\| End Date\| TYPE-OF-SERVICE\| CIP257, CLT211, COT186, CRX134 \| 136\| In vitro diagnostic products (as defined in section 809.3(a) of title 21, Code of Federal Regulations) administered during any portion of the emergency period defined in paragraph (1)(B) of section 1135(g) beginning on or after the date of the enactment of this subparagraph for the detection of SARS–CoV–2 or the diagnosis of the virus that causes COVID–19, and the administration of such in vitro diagnostic products\| 3/18/2020\| 12/31/9999\| TYPE-OF-SERVICE\| CIP257, CLT211, COT186, CRX134 \| 137\| COVID–19 testing-related services\|3/18/2020\| 12/31/9 999\|
12/04/2020	2.4.0	TYPE-OF-SERVICE	ADD	Data Dictionary - Valid Values	N/A	\|VALUE_SET_ID\|EFFECTIVE_DATE\|END_DATE\|VALUE\|NAME\|DESCRIPTION\| \|TYPE-OF-SERVICE\| 20201001\|99991231\|145\|Medication Assisted Treatment (MAT) services and drugs for evidenced-based treatment of Opioid Use Disorder (OUD) in accordance with section 1905(a)(29) of the Social Security Act\|Effective October 1, 2020, state Medicaid programs are required to provide coverage of Medication Assisted Treatment (MAT) services and drugs under a new mandatory benefit. The SUPPORT Act of 2018 (P.L. 115-271) amended the Social Security Act (the Act) to add this new mandatory benefit. The purpose of the new mandatory MAT benefit found at section 1905(a)(29) of the Act is to increase access to evidenced-based treatment for Opioid Use Disorder (OUD) for all Medicaid beneficiaries and to allow patients to seek the best course of treatment and particular medications that may not have been previously covered. CMS interprets sections 1905(a)(29) and 1905(ee) of the Act to require that, as of October 1, 2020, states must include as part of the new MAT mandatory benefit all forms of drugs and biologicals that the Food and Drug Administration (FDA) has approved or licensed for MAT to treat OUD. More specifically, under the new mandatory MAT benefit, states are required to cover such FDA approved or licensed drugs and biologicals used for indications for MAT to treat OUD. States currently cover many of these MAT drugs and biologicals (for all medically-accepted indications) under the optional benefit for prescribed drugs described at section 1905(a)(12) of the Act.\| TYPE-OF-SERVICE value ‘145’ is applicable to the T-MSIS OT and RX files. Section 1905(a)(29) of the Social Security Act stipulates that the benefit applies to the period of October 1, 2020 through September 30, 2025, however states may continue to adjudicate and submit claims to T-MSIS for this type of service beyond September 30, 2025 for dates of service prior to September 30, 2025. This value may be end-dated at some point in the future after it is clear that there will be no more claims submitted to T-MSIS with it. State T-MSIS team members are encouraged to reach out to their state policy experts to determine how this type of service has been incorporated into the state’s Medicaid program.
03/19/2021	3.0.0	TYPE-OF-SERVICE	UPDATE	Data Dictionary - Valid Values	N/A	\|Data Element\|Effective Date\|End Date\|Value\|Name\| \|TYPE-OF-SERVICE\|00010101\|99991231\|146\|Inpatient Psychiatric Services for beneficiaries between the ages of 22 and 64 who receive services in an institution for mental disease (IMD)\|
08/13/2021	3.0.0	TYPE-OF-SERVICE (	ADD	Data Dictionary - Valid Values	N/A	\|VALUE_SET_ID\|EFFECTIVE_DATE\|END_DATE\|VALUE\|NAME\|DESCRIPTION\| \|TYPE-OF-SERVICE\|00010101\|99991231\|147\|Residential Pediatric Recovery Center (RPRC): A center or facility that furnishes items and services for which medical assistance is available under the State plan to infants with the diagnosis of neonatal abstinence syndrome without any other significant medical risk factors.\|
09/03/2021	3.0.0	TYPE-OF-SERVICE	UPDATE	Data Dictionary - Valid Values	N/A	\|VALUE_SET_ID\|EFFECTIVE_DATE\|END_DATE\|VALUE\|NAME\|DESCRIPTION\| \|TYPE-OF-SERVICE\|00010101\|99991231\|147\|Residential Pediatric Recovery Center (RPRC): A center or facility that furnishes items and services for which medical assistance is available under the State plan to infants with the diagnosis of neonatal abstinence syndrome without any other significant medical risk factors.\|