MSIS Type of Service (TOS)

SAS Name
MSIS_TOS

Code indicating the Medicaid Statistical Information System (MSIS) Type of Service.

Comments

USER NOTE: THE FOLLOWING CODES ARE INVALID: 03, 06, 14, 17, 18, 23, 27, 28, 29, 32 AND 40. BEGINNING IN 10/98, MSIS IDENTIFIED EARLY PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT (EPSDT); FAMILY PLANNING; RURAL HEALTH CLINIC; FEDERALLY QUALIFIED HEALTH CENTERS (FQHCs); INDIAN HEALTH; HOME AND COMMUNITY-BASED CARE FOR DISABLED, ELDERLY AND INDIVIDUALS AGE 65 AND OLDER; AND HOME AND COMMUNITY-BASED CARE WAIVER SERVICES USING A NEW DATA ELEMENT, 'PROGRAM-TYPE'. A SUBSTANTIAL NUMBER OF NEW MSIS TYPE OF SERVICE CODES WERE ADDED IN FISCAL YEAR 1998.
NOTE: IN MAX 2008, A TYPOGRAPHICAL ERROR WAS CORRECTED -- VALUE 20 NOW INCLUDES PACE.

SOURCE: MSIS CLAIMS FILE: 'TYPE-OF-SERVICE'.

EXPECTED MSIS TYPES OF SERVICE FOR THIS FILE ARE:
Code Code value
01 INPATIENT HOSPITAL
24 STERILIZATIONS
25 ABORTIONS
39 RELIGIOUS NON-MEDICAL HEALTH CARE INSTITUTIONS