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TMSIS Dataguide Medicaid.gov
Version 3.36.0

HCBS-SERVICE-CODE

Data Element

DE Number

CRX135

System DE Number

CRX.003.135

File Name

CRX - CLAIM PHARMACY

File Segment Number

CRX00003

File Segment Name

CLAIM-LINE-RECORD-RX

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition A code to indicate that the service represents a long-term care home and community based service or support for an individual with chronic medical and/or mental conditions. The codes help to delineate between acute care and long-term care provided in the home and community setting (e.g. 1915(c), 1915(i), 1915(j), and 1915(k) services).
Size X(1)
FLF Start Position 317
FLF Stop Position 317
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be in HCBS Service Code List (VVL)
2. Value must be 1 character
3. If value is in [1-7], then HCBS Taxonomy must be populated.
4. Conditional
Valid Value Code Set Valid Value Code Valid Value Name Valid Value Description Effective Start Date Effective End Date
DE Number System DE Number DE Name File Segment Number File Segment Name
COT187 COT.003.187 HCBS-SERVICE-CODE COT00003 CLAIM-LINE-RECORD-OT