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Data Element
CRX149
CRX.003.149
Definition | A code to indicate the Federal funding source for the payment. |
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Size | X(2) |
FLF Start Position | 378 |
FLF Stop Position | 379 |
Segment Key Field Identifier | Not Applicable |
Coding Requirements | 1. Value must be in CMS 64 Category for Federal Reimbursement List (VVL) 2. Value must be 2 characters 3. (Federal Funding under Title XXI) if value equals '02', then the eligible's CHIP Code (ELG.003.054) must be in ['2', '3'] 4. (Federal Funding under Title XIX) if value equals '01' then the eligible's CHIP Code (ELG.003.054) must be '1' 5. Conditional 6. If Type of Claim is in ['1','2','5','A','B','E','U','V','Y'] and the Total Medicaid Paid Amount is populated on the corresponding claim header, then value must be reported. 7. If Type of Claim is in ['4','D'] and the Service Tracking Payment Amount on the relevant record is populated, then value must be reported. |
Valid Value Code Set | Valid Value Code | Valid Value Name | Valid Value Description | Effective Start Date | Effective End Date |
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DE Number | System DE Number | DE Name | File Segment Number | File Segment Name |
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CIP269 | CIP.003.269 | CMS-64-CATEGORY-FOR-FEDERAL-REIMBURSEMENT | CIP00003 | CLAIM-LINE-RECORD-IP |
CLT219 | CLT.003.219 | CMS-64-CATEGORY-FOR-FEDERAL-REIMBURSEMENT | CLT00003 | CLAIM-LINE-RECORD-LT |
COT210 | COT.003.210 | CMS-64-CATEGORY-FOR-FEDERAL-REIMBURSEMENT | COT00003 | CLAIM-LINE-RECORD-OT |