01/26/2023 |
3.2.0 |
PRV.006.088 |
UPDATE |
Definition |
A code to identify the schema used in the Provider Classification Code field to categorize providers. See T-MSIS Guidance Document, "CMS Guidance: Best Practice for Reporting Provider Classification Type and Provider Classification Code in the T-MSIS Provider File"
https://www.medicaid.gov/medicaid/data-and-systems/macbis/tmsis/tmsis-blog/entry/47562
A provider may be reported with multiple active record segments with the same Provider Classification Type if different Provider Classification Code values apply. |
A code to identify the schema used in the Provider Classification Code field to categorize providers. See T-MSIS Guidance Document, "CMS Guidance: Best Practice for Reporting Provider Classification Type and Provider Classification Code in the T-MSIS Provider File" https://www.medicaid.gov/medicaid/data-and-systems/macbis/tmsis/tmsis-blog/98581 . A provider may be reported with multiple active record segments with the same Provider Classification Type if different Provider Classification Code values apply. |
12/03/2021
|
3.0.0 |
PROV-CLASSIFICATION-TYPE = 3 (Provider Type Code)
|
ADD |
Data Dictionary - Valid Values |
N/A |
|VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION| |PROV-CLASSIFICATION-TYPE = 3 (Provider Type Code)|00010101|99991231|58|Institutions for Mental Disease| |
11/05/2021
|
3.0.0 |
PROV-CLASSIFICATION-TYPE = 4
|
ADD |
Data Dictionary - Valid Values |
N/A |
|VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION| |PROV-CLASSIFICATION-TYPE = 4 (Authorized Category of Service Code)|00010101|99991231|89|Disposable medical supplies| |PROV-CLASSIFICATION-TYPE = 4 (Authorized Category of Service Code)|00010101|99991231|90|Critical access hospital services - IP| |PROV-CLASSIFICATION-TYPE = 4 (Authorized Category of Service Code)|00010101|99991231|91|Skilled care - hospital residing| |PROV-CLASSIFICATION-TYPE = 4 (Authorized Category of Service Code)|00010101|99991231|92|Exceptional care - hospital residing| |PROV-CLASSIFICATION-TYPE = 4 (Authorized Category of Service Code)|00010101|99991231|93|Non-acute care - hospital residing| |PROV-CLASSIFICATION-TYPE = 4 (Authorized Category of Service Code)|00010101|99991231|120|Capitated payments for primary care case management (PCCM)| |PROV-CLASSIFICATION-TYPE = 4 (Authorized Category of Service Code)|00010101|99991231|123|Disproportionate share hospital (DSH) payments| |PROV-CLASSIFICATION-TYPE = 4 (Authorized Category of Service Code)|00010101|99991231|127|Indian Health Service (IHS) - Family Plan| |PROV-CLASSIFICATION-TYPE = 4 (Authorized Category of Service Code)|00010101|99991231|132|Supplemental payment - inpatient| |PROV-CLASSIFICATION-TYPE = 4 (Authorized Category of Service Code)|00010101|99991231|133|Supplemental payment - nursing| |PROV-CLASSIFICATION-TYPE = 4 (Authorized Category of Service Code)|00010101|99991231|134|Supplemental payment - outpatient| |PROV-CLASSIFICATION-TYPE = 4 (Authorized Category of Service Code)|00010101|99991231|135|EHR payments to provider| |PROV-CLASSIFICATION-TYPE = 4 (Authorized Category of Service Code)|00010101|99991231|136|In vitro diagnostic products (as defined in section 809.3(a) of title 21, Code of Federal Regulations) administered during any portion of the emergency period defined in paragraph (1)(B) of section 1135(g) beginning on or after the date of the enactment of this subparagraph for the detection of SARS–CoV–2 or the diagnosis of the virus that causes COVID–19, and the administration of such in vitro diagnostic products| |PROV-CLASSIFICATION-TYPE = 4 (Authorized Category of Service Code)|00010101|99991231|137|COVID–19 testing-related services| |PROV-CLASSIFICATION-TYPE = 4 (Authorized Category of Service Code)|00010101|99991231|138|Per member per month (PMPM) payments for health home services| |PROV-CLASSIFICATION-TYPE = 4 (Authorized Category of Service Code)|00010101|99991231|143|Per member per month (PMPM) payments for other payments| |PROV-CLASSIFICATION-TYPE = 4 (Authorized Category of Service Code)|00010101|99991231|144|Payments to individuals for personal assistance services under 1915(j)| |PROV-CLASSIFICATION-TYPE = 4 (Authorized Category of Service Code)|00010101|99991231|145|Medication Assisted Treatment (MAT) services and drugs for evidenced-based treatment of Opioid Use Disorder (OUD) in accordance with section 1905(a)(29) of the Social Security Act| |PROV-CLASSIFICATION-TYPE = 4 (Authorized Category of Service Code)|00010101|99991231|146|Inpatient Psychiatric Services for beneficiaries between the ages of 22 and 64 who receive services in an institution for mental disease (IMD)| |PROV-CLASSIFICATION-TYPE = 4 (Authorized Category of Service Code)|00010101|99991231|147|Residential Pediatric Recovery Center (RPRC): A center or facility that furnishes items and services for which medical assistance is available under the State plan to infants with the diagnosis of neonatal abstinence syndrome without any other significant medical risk factors.| |