Updated research request forms and data security approval requirement effective 4/24/23
SAS Name
RCPNT_DLVRY_CD
CODE INDICATING WHETHER OR NOT THE ELIGIBLE HAD AT LEAST ONE INPATIENT HOSPITAL STAY IN THE YEAR WITH A MATERNAL DELIVERY DIAGNOSIS CODE.
| Code | Code value |
|---|---|
| 0 | NO MAX INPATIENT CLAIM DURING THE YEAR WITH A MATERNAL DELIVERY DIAGNOSIS CODE. |
| 1 | AT LEAST ONE MAX INPATIENT CLAIM DURING THE YEAR WITH A MATERNAL DELIVERY DIAGNOSIS CODE. |
USER NOTES:
REFER TO THE DELIVERY CODE ON THE IP RECORD FOR THE LIST OF DELIVERY DIAGNOSIS CODES.
SOME INPATIENT HOSPITAL DELIVERY CLAIMS ARE ONLY FOR THE MOTHER, SOME ARE ONLY FOR THE NEWBORN, AND SOME ARE COMBINED MOTHER/NEWBORN CLAIMS.
INPATIENT HOSPITAL PROCEDURE CODES WERE NOT USED TO IDENTIFY DELIVERIES BECAUSE THEY ARE NOT AS RELIABLE AS DIAGNOSIS CODES.
A SMALL PERCENTAGE OF MEDICAID DELIVERIES OCCUR IN PLACES OF SERVICE OTHER THAN THE INPATIENT HOSPITAL.
IN MAX 1999-2005 THE DELIVERY INDICATOR ON THE PS FILE INCORRECTLY INCLUDED BOTH MOTHERS AND NEWBORNS INSTEAD OF JUST MOTHERS. STARTING WITH MAX 2006 IT INCLUDES ONLY MATERNAL DELIVERIES. THE DELIVERY INDICATOR ON THE IP FILE CAN BE USED TO PROPERLY IDENTIFY EITHER MATERNAL AND/OR NEWBORN DELIVERIES DURING 1999-2005.
IN MAX 1992-1995 THERE WAS ALSO A FIELD CONTAINING A SUMMARY OF THE MEDICAID AMOUNT PAID FOR ALL DELIVERY CLAIMS. THAT DATA ELEMENT HAS BEEN ELIMINATED IN LATER MAX FILES BECAUSE IT MAY MISREPRESENT DELIVERY EXPENDITURES FOR A NUMBER OF REASONS, INCLUDING:
- BOTH THE NEWBORN AND MOTHER'S EXPENDITURES ARE INCLUDED ON COMBINED OTHER/NEWBORN CLAIMS.
- ONLY THE MOTHER'S EXPENDITURES ARE INCLUDED WHEN THERE ARE SEPARATE CLAIMS FOR MOTHERS AND NEWBORNS.
- THERE ARE SOMETIMES MULTIPLE INPATIENT HOSPITAL DELIVERY CLAIMS FOR ONE DELIVERY (E.G. FALSE LABOR OR COMPLICATIONS AFTER DELIVERY) DUE TO MISCODING ON THE CLAIMS. IN THESE INSTANCES, ALL OF THESE EXPENDITURES ARE INCLUDED.
NOTE: IN MAX 2006, THIS SPECIFICATION WAS UPDATED.
SOURCE: CREATED FROM MSIS IP CLAIMS.