CLT.003.243

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TMSIS Dataguide

Medicaid.gov

Version 3.27.0

IHS-SERVICE-IND

Data Element

DE Number

CLT243

System DE Number

CLT.003.243

File Name

CLT - CLAIM LONG-TERM CARE

File Segment Number

File Segment Name

CLAIM-LINE-RECORD-LT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	To indicate Services received by Medicaid-eligible individuals who are American Indian or Alaska Native (AI/AN) through facilities of the Indian Health Service (IHS), whether operated by IHS or by Tribes.
Size	X(1)
FLF Start Position	927
FLF Stop Position	927
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 1 character 2. Value must be in [0, 1] 3. Mandatory

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

RULE ID	RULE Definition
RULE-7609	If a claim line is a non-denied claim from an LT file, then the IHS service indicator value reported must be compatible with the specified T-MSIS picture format: X(1).
RULE-7611	If the IHS service indicator is populated on a non-denied claim line from an LT file, then the IHS service indicator value reported must be in the list of valid values for 'IHS-SERVICE-IND'.

Measure ID	Measure Name
ALL-16-017-17	% of claims with IHS-SERVICE-IND = “1” (LT) not linked to any MSIS ID where AMERICAN-INDIAN-ALASKAN-NATIVE-INDICATOR = “1”
ALL-16-021-21	% of claims with IHS-SERVICE-IND = “1” (LT) not linked to any MSIS ID where RACE = “003” (American Indian or Alaskan Native)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP296	CIP.003.296	IHS-SERVICE-IND	CIP00003	CLAIM-LINE-RECORD-IP
COT234	COT.003.234	IHS-SERVICE-IND	COT00003	CLAIM-LINE-RECORD-OT
CRX172	CRX.003.172	IHS-SERVICE-IND	CRX00003	CLAIM-LINE-RECORD-RX

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
08/28/2023	3.12.0	CLT.003.243	UPDATE	Coding requirement	1. Value must be 1 character2. Value must be in [0, 1]	1. Value must be 1 character2. Value must be in [0, 1]3. Mandatory
02/16/2023	3.3.0	CLT.003.243	UPDATE	Definition	This data element indicates services received by Medicaid-eligible individuals who are American Indian or Alaska Native (AI/AN) through facilities of the Indian Health Service (IHS), whether operated by IHS or by Tribes.	To indicate Services received by Medicaid-eligible individuals who are American Indian or Alaska Native (AI/AN) through facilities of the Indian Health Service (IHS), whether operated by IHS or by Tribes.
02/16/2023	3.3.0	CLT.003.243	UPDATE	Coding requirement	1. Value must be 1 character2. Value must be in [0, 1] or not populated	1. Value must be 1 character2. Value must be in [0, 1]
06/24/2022	3.0.0	CLT243/ IHS-SERVICE-IND	ADD DE	Data Dictionary - Record Layout	N/A	DE_NO\|DATA_ELEMENT_NAME\|SIZE\|FILE NAME\|FILE SEGMENT CLT243\|IHS-SERVICE-IND\|X(1)\|CLAIMLT\|CLAIM-LINE-RECORD-LT-CLT00003
06/24/2022	3.0.0	CLT243	ADD	Data Dictionary	N/A	\|DE NO\| DATA ELEMENT NAME\|NECESSITY \|DEFINITION\|CODING REQUIREMENT\|FILENAME\| FILE SEGMENT NAME CLT243\|IHS-SERVICE-IND\|Mandatory\|To indicate Services received by Medicaid-eligible individuals who are American Indian or Alaska Native (AI/AN) through facilities of the Indian Health Service (IHS), whether operated by IHS or by Tribes.\|Value must be 1 character Value must be in [0, 1] or not populated\|CLAIMLT\|CLAIM-LINE-RECORD-LT-CLT00003
12/30/2022	3.1.0	IHS-SERVICE-IND (CIP296, CLT243, COT234, CRX172)	UPDATE	Data Dictionary	DE NO\| DATA ELEMENT NAME COMPUTING\|DEFINITION\| CIP296\|IHS-SERVICE-IND\|This data element indicates services received by Medicaid-eligible individuals who are American Indian or Alaska Native (AI/AN) through facilities of the Indian Health Service (IHS), whether operated by IHS or by Tribes. CLT243\|IHS-SERVICE-IND\|This data element indicates services received by Medicaid-eligible individuals who are American Indian or Alaska Native (AI/AN) through facilities of the Indian Health Service (IHS), whether operated by IHS or by Tribes. COT234\|IHS-SERVICE-IND\|This data element indicates services received by Medicaid-eligible individuals who are American Indian or Alaska Native (AI/AN) through facilities of the Indian Health Service (IHS), whether operated by IHS or by Tribes. CRX172\|IHS-SERVICE-IND\|This data element indicates services received by Medicaid-eligible individuals who are American Indian or Alaska Native (AI/AN) through facilities of the Indian Health Service (IHS), whether operated by IHS or by Tribes.	DE NO\| DATA ELEMENT NAME COMPUTING\|DEFINITION\| CIP296\|IHS-SERVICE-IND\|To indicate Services received by Medicaid-eligible individuals who are American Indian or Alaska Native (AI/AN) through facilities of the Indian Health Service (IHS), whether operated by IHS or by Tribes. CLT243\|IHS-SERVICE-IND\|To indicate Services received by Medicaid-eligible individuals who are American Indian or Alaska Native (AI/AN) through facilities of the Indian Health Service (IHS), whether operated by IHS or by Tribes. COT234\|IHS-SERVICE-IND\|To indicate Services received by Medicaid-eligible individuals who are American Indian or Alaska Native (AI/AN) through facilities of the Indian Health Service (IHS), whether operated by IHS or by Tribes. CRX172\|IHS-SERVICE-IND\|To indicate Services received by Medicaid-eligible individuals who are American Indian or Alaska Native (AI/AN) through facilities of the Indian Health Service (IHS), whether operated by IHS or by Tribes.
12/09/2022	3.0.6	IHS-SERVICE-IND (CIP296, CLT243, COT234, CRX172)	UPDATE	Data Dictionary - Valid Values	VALUE_SET_ID\|EFFECTIVE_DATE\|END_DATE\|VALUE\|NAME\|DESCRIPTION\| IHS-SERVICE-IND\|20220624\|99991231\|0\|No IHS-SERVICE-IND\|20220624\|99991231\|1\|Yes	VALUE_SET_ID\|EFFECTIVE_DATE\|END_DATE\|VALUE\|NAME\|DESCRIPTION\| IHS-SERVICE-IND\|00010101\|99991231\|0\|No IHS-SERVICE-IND\|00010101\|99991231\|1\|Yes