Medicaid

Title XIX-only providers are identified by a 6-position alphanumeric CCN. Positions one and two identify the state in which the provider is located. Position three, an alpha character, identifies the type of facility, by either level or type of care being provided. Positions four, five and six represent a sequence beginning with 001.

Facility Types

The third character of a Medicaid-Only Provider CCN represents the facility type and a unique identifier. The facility type is encoded in the third character of the last four characters. The table below summarizes the valid facility type codes and their corresponding ranges.

abbr	desc	code
HHA	Home Health Agency	K
ICF-IID	Intermediate Care Facility for Individuals with Intellectual Disabilities	G, H
MOH	Medicaid-Only Hospital	J
NF	Nursing Facility	A, B, E, F
PRTF	Psychiatric Residential Treatment Facility	L

Facility Ranges

The last three characters of a Medicaid-Only Provider CCN represent the facility type and a unique identifier. The facility type is encoded in the third character of the last four characters. The table below summarizes the valid facility type codes and their corresponding ranges.

abbr	desc	range
CH	Children's Hospital	100-199
CPH	Children's Psychiatric Hospital	200-299
IRF	Rehabilitation Hospital	400-499
LTCH	Long-Term Hospital	500-599
PH	Psychiatric Hospital	300-399
RSVD	Reserved for Future Use	600-999
STC	Short-Term Acute Care Hospital	001-099