Change Log as of February 26, 2016
Current
Data Element
Page #
342
Provider and
Ancillary/Service Specialty
Codes
Change
Added provider/ancillary codes:
835 HCBS PROVIDER TRAVEL
836 HCBS PSYCHOSOCIAL REHAB
837 HCBS PEER SUPPORT
838 OMH OTHER LICENSED PRACTITIONERS
839 HCBS COMMUNITY PSYCHIATRIC
SUPPORTS AND TREATMENT
Change Log as of September 17, 2015
Current
Data Element
Page #
Appendix A – Provider Profession
213
Codes
Change Log as of July 29, 2015
Current
Data Element
Page #
Pharmacy Segment – Edit
142
Applications
Edit Logic - 02193 Controlled
232
Substance Limit Exceeded
Edit Severity Matrix - 02193
245
Controlled Substance Limit
Exceeded
Change Log as of March 24, 2015
Current
Data Element
Page #
243
Edit Logic - 01724
Change Log as of February 26, 2015
Current
Data Element
Page #
1
Version Number
1
Contact Information
7
8
204-205
206-217
Change
Added behavioral health specialty codes 854-862
Change
Edit 02193 has been added to this data element.
Added Edit Code 02193 Controlled Substance
Limit Exceeded and its logic.
Added Edit Code 02193 Controlled Substance
Limit Exceeded and its logic.
Change
Nursing Home COS 12 and 73 changed from
Hard Edit “H” to Non-Edit “N”.
Change
Version changed to 3.4, December 2014.
Updated the contact information on cover page.
“Encounter files must be submitted monthly…”
has been changed to:
Reporting
“Encounter files are to be submitted in
accordance with the model contract…”
2015 Data Extract dates have been added.
2015 Data Extract Schedule
Added Behavioral Health profession codes 071
APPENDIX A – Provider
and 078.
Profession Codes
APPENDIX B – Provider Specialty Added nursing home provider specialty codes
655-659. Added FIDA specialty codes 816-834.
Codes
224-232
234-246
235-247
Edit Logic
Edit Severity Matrix (code
changes)
Edit Severity Matrix (new codes)
Edit codes 00076, 00132, 00162, 00204, 00240,
00263, 00401, 00402, 00411, 00414, 00415,
00422, 00627, 00653, 00736, 00737, 01042,
01044, 01046, 01073, 01292, 01714, 01724,
02030, 02031, 02036, 02037 and 02038 have
been added.
Edit code 00078 - REFERRING PROVIDER ID
NUMBER INVALID has been changed to a
N=Non-Edit (Ignore) for Pharmacy.
Edit Code 00544 - NDC CODE NON-NUMERIC
has been changed to a H=Hard-edit (Deny) for
Pharmacy.
Edit Code 00561 - NDC CODE NON-NUMERIC
has been changed to a H=Hard-edit (Deny) for
Clinical encounters.
Edit Code 02066- DRUG CODE MISSING has
been changed to a H=Hard-edit (Deny) for
Clinical encounters.
Edit codes 00076, 00132, 00162, 00204, 00240,
00263, 00401, 00402, 00411, 00414, 00415,
00422, 00627, 00653, 00736, 00737, 01042,
01044, 01046, 01073, 01292, 01714, 01724,
02030, 02031, 02036, 02037 and 02038 have
been added.
Note: These codes have already been in effect
but were not reflected in the data dictionary.
Change Log as of July 21, 2014
Current
Data Element
Page #
241, 245
Edit Severity Matrix
Change Log as of April 24, 2014
Current
Data Element
Page #
26
235
244
Change
Edit codes 00544, 00561 and 02066 have been
modified to trigger a hard edit for pharmacy
encounters.
Change
MEDS III Data Element Reporting
– Institutional Segment –
Discharge Date
Added category of service codes 12 (Institutional
LTC) and 28 (Intermediate Care Facilities) to be
required in submission.
Edit Logic – 01724 Line DOS
Outside from/Through Dates
Edit Severity Matrix – 01724 Line
DOS Outside from/Through Dates
New edit logic for institutional encounters to
prevent inconsistency in header service dates.
New edit logic for institutional encounters to
prevent inconsistency in header service dates.
Change Log as of February 10, 2014
Current
Data Element
Page #
1
Data Dictionary Version Number
7
Version Number - Date
8
2014 Data Extract Schedule
MEDS Data Element Reporting –
15
Provider Service Location
74
222-225
Change
MEDS III Transaction Segment:
Common Detail – Provider
Service Location
Version number changed to 3.3, February 2014.
Updated to version 3.3, February 2014.
Data extract schedule updated to 2014 values.
Submission status is now ‘Required’, previously
this cell was blank.
Removed the word ‘partial’ to prevent issues of
interpretation in the definition. This data element
requires a valid, complete, 9-digit U.S. zip code.
Edit Logic – 00705 Duplicate
Claim In History
Detailed the system’s logic for how/why specific
claim encounters will fail to process.