California Code of Regulations
Title 22 - Social Security
Division 7 - Health Planning and Facility Construction
Chapter 10 - Health Facility Data
Article 8 - Patient Data Reporting Requirements
Section 97255 - Definition of Data Element for ED and AS - Patient Address

Universal Citation: 22 CA Code of Regs 97255

Current through Register 2024 Notice Reg. No. 38, September 20, 2024

(a) Effective with encounters occurring on or after January 1, 2023, the patient's address shall be reported. The address shall include the address number and street name, city, state, and ZIP Code. Do not report the address of the hospital. If more than one address is available for the patient, report the address of the patient's usual residence. If exact address is unknown or the patient is experiencing homelessness, provide as much information as possible.

(1) The address number and street name shall be reported.
(A) If the address number and/or street name are unknown, leave blank.

(B) If the address number and street name are not part of the United States, leave blank.

(2) The city shall be reported.
(A) If the city of residence is unknown, leave blank.

(B) If the city of residence is not part of the United States, leave blank.

(3) The state shall be reported using the two letter abbreviation.
(A) If the state of residence is unknown, leave blank.

(B) If the state of residence is not part of the United States, leave blank.

(4) The ZIP Code shall be reported using the unique code assigned to a specific geographic area by the United States Postal Service.
(A) If the patient has a 9-digit ZIP Code, only the first five digits shall be reported.

(B) Unknown ZIP Codes shall be reported as "XXXXX."

(C) ZIP Codes for persons who do not reside in the U.S. shall be reported as "YYYYY."

(5) For patients with a non-US residence, report the country.

(6) Indicate whether a patient was experiencing homelessness at the time of admission. This may include chronic, episodic, transitional homelessness, or in temporary shelter:
(A) Include "Y" for patients experiencing homelessness.

(B) Include "N" for patients not experiencing homelessness.

(C) "U" for Unknown.

Note: Authority cited: Section 128810, Health and Safety Code. Reference: Sections 128736, 128737 and 128738, Health and Safety Code.

Note: Authority cited: Section 128810, Health and Safety Code. Reference: Sections 128736, 128737 and 128738, Health and Safety Code.

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