For some Long-Term Care (LTC) clients, Medicaid will pay the amount(s) applied by the Medicare MCO as Patient Responsibility adjustment(s). If there were Medicare Coinsurance Days they must be reported in loop 2300, QTY segment (QTY01 = CD and QTY02 = the number of days in the statement covers period). Loop 2320 must be reported with a value of ‘16’ in SBR09. The Medicare coinsurance amount must be present in a CAS segment (CAS*2*…), as must any other adjustments reported in the remittance such as co-payment (CAS*3*…). The total of the Patient Responsibility amounts entered will be the amount paid by Medicaid. In this situation any days that the Medicare MCO did not cover cannot be billed to Medicaid on the same claim. The days the Medicare MCO did not cover would become the Medicaid Covered Days on a new claim to Medicaid. See the FAQ on Zero Fill for more information on how to bill Medicaid for the days the Medicare MCO did not cover.