COT.003.188

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TMSIS Dataguide

Medicaid.gov

Version 3.36.0

HCBS-TAXONOMY

Data Element

DE Number

COT188

System DE Number

COT.003.188

File Name

COT - CLAIM OTHER

File Segment Number

File Segment Name

CLAIM-LINE-RECORD-OT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	A code to classify the home and community based services listed on the claim into the HCBS taxonomy.
Size	X(5)
FLF Start Position	326
FLF Stop Position	330
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be in HCBS Taxonomy Code List (VVL) 2. Value must be 5 characters or less 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-1660	If the HCBS taxonomy is populated on a non-denied claim line from an OT file, then the HCBS taxonomy value reported must be in the list of valid values.
RULE-6187	If a claim line is a non-denied claim line from an IP file, then the HCBS taxonomy value reported must be compatible with specified T-MSIS picture format: X(5).

Measure ID	Measure Name
ALL-2-001-1	# of unique HCBS Taxonomy valid values reported
ALL-34-001-1	% of claim lines with non-missing HCBS Service Code that have missing HCBS Taxonomy
ALL-34-002-2	% of claim lines with non-missing Procedure Code and either HCBS Service Code or HCBS Taxonomy that have a Procedure Code format that indicates a CPT or CDT code
EXP-11-003-83	% of amount paid for claim lines with HCBS Taxonomy values beginning with 02, 04, or 08 of the amount for all claim lines with HCBS Taxonomy
MIS-7-008-8	% missing: HCBS-TAXONOMY (COT00003)
MIS-26-009-9	% missing: HCBS-TAXONOMY (COT00003)
MIS-84-008-8	% missing: HCBS-TAXONOMY (COT00003)
ALL-2-008-8	OT- % of 1915(c) or 1915(i) eligibles (WAIVER-TYPE = '06' - '20' or ‘33’ or STATE-PLAN-OPTION-TYPE = '02') with HCBS-TAXONOMY claims

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CRX136	CRX.003.136	HCBS-TAXONOMY	CRX00003	CLAIM-LINE-RECORD-RX

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/12/2024	3.29.0	COT.003.188	UPDATE	Coding requirement	1. Value must be in HCBS Taxonomy Code List (VVL).2. Value must be 5 characters or less3. Conditional	1. Value must be in HCBS Taxonomy Code List (VVL)2. Value must be 5 characters or less3. Conditional