CRX.003.127

Definition	The amount paid by Medicaid/CHIP on this claim at the claim line level toward the beneficiary's Medicare deductible. If the Medicare deductible amount can be identified separately from Medicare coinsurance payments, code that amount in this field. If the Medicare coinsurance and deductible payments cannot be separated, fill this field with the combined payment amount and Medicare Coinsurance Payment is not required.
Size	S9(11)V99
FLF Start Position	251
FLF Stop Position	263
Segment Key Field Identifier	Not Applicable
Coding Requirements	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 4. If associated Crossover Indicator value is '0' (not a crossover claim), value should not be populated 5. If value is greater than '0,' then Crossover Indicator must be '1'

RULE ID	RULE Definition
RULE-1931	If a claim is a non-denied claim from an RX file, then the medicare deductible amount value reported must be a valid dollar amount that matches the specified T-MSIS picture format: S9(11)V99.

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/01/2023	3.12.0	CRX.003.127	UPDATE	Coding requirement	1. Value must be between -99999999999.99 and 99999999999.992. Value must be expressed as a number with 2-digit precision (e.g. 100.50 )3. Conditional4. Value should not be populated if associated Crossover Indicator value is '0' (not a crossover claim)5. If value is greater than '0,' then Crossover Indicator must be '1'	Value must be between -99999999999.99 and 99999999999.992. Value must be expressed as a number with 2-digit precision (e.g. 100.50 )3. Conditional4. If associated Crossover Indicator value is '0' (not a crossover claim), value should not be populated5. If value is greater than '0,' then Crossover Indicator must be '1'
06/24/2022	3.0.0	MEDICARE-DEDUCTIBLE-AMT	UPDATE	Data Dictionary	DE NO\|DATA ELEMENT NAME\| DEFINITION\|CODING REQUIREMENT\| CRX127\|MEDICARE-DEDUCTIBLE-AMT\| The amount paid by Medicaid/CHIP on this claim at the claim line level toward the beneficiary's Medicare deductible. If the Medicare deductible amount can be identified separately from Medicare coinsurance payments, code that amount in this field. If the Medicare coinsurance and deductible payments cannot be separated, fill this field with the combined payment amount and MEDICARE-COINSURANCE-PAYMENT is not required.\| 1.(GS) value must satisfy the requirements of US Dollar Amount (DT) 2.(N) conditional The amount paid by Medicaid/CHIP on this claim at the claim line level toward the beneficiary's Medicare deductible. If the Medicare deductible amount can be identified separately from Medicare coinsurance payments, code that amount in this field. If the Medicare coinsurance and deductible payments cannot be separated, fill this field with the combined payment amount and MEDICARE-COINSURANCE-PAYMENT is not required. see US Dollar Amount (TMSIS.DT.000.008)	DE NO\|DATA ELEMENT NAME\| DEFINITION\|CODING REQUIREMENT\| CRX127\|MEDICARE-DEDUCTIBLE-AMT\| The amount paid by Medicaid/CHIP on this claim at the claim line level toward the beneficiary's Medicare deductible. If the Medicare deductible amount can be identified separately from Medicare coinsurance payments, code that amount in this field. If the Medicare coinsurance and deductible payments cannot be separated, fill this field with the combined payment amount and Medicare Coinsurance Payment is not required.\| 1.(GS) value must satisfy the requirements of US Dollar Amount (DT) 2.(N) conditional 3.(FD1) value should not be populated if associated Crossover Indicator value

MEDICARE-DEDUCTIBLE-AMT