CRX.003.136

An official website of the United States government

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock () or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

TMSIS Dataguide

Medicaid.gov

Version 3.27.0

HCBS-TAXONOMY

Data Element

DE Number

CRX136

System DE Number

CRX.003.136

File Name

CRX - CLAIM PHARMACY

File Segment Number

File Segment Name

CLAIM-LINE-RECORD-RX

Last updated

No Updates

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	318
FLF Stop Position	322
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-1941	If the HCBS taxonomy is populated on a non-denied claim from an RX file, then the HCBS taxonomy reported must be found in the list of valid values.
RULE-6857	The format for HCBS-TAXONOMY on a non-denied RX claim line was expected to be submitted as X(5).

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
COT188	COT.003.188	HCBS-TAXONOMY	COT00003	CLAIM-LINE-RECORD-OT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After