| ELG103 |
ELG.006.103
|
RECORD-ID |
The Record ID represents the type of segment being reported. The Record ID communicates how the contents of a
given row of data should be interpreted depending on which segment type the Record ID represents. Each type of
segment collects different data elements so each segment type has a distinct layout. The first 3 characters identify
the relevant file (e.g., ELG, PRV, CIP, etc.). The last 5 digits are the segment identifier padded with leading zeros (e.g.,
00001, 00002, 00003, etc.). |
ELG103 Values
|
| ELG104 |
ELG.006.104
|
SUBMITTING-STATE |
A code that uniquely identifies the U.S. State or Territory from which T-MSIS system data resources were received. |
ELG104 Values
|
| ELG105 |
ELG.006.105
|
RECORD-NUMBER |
A sequential number assigned by the submitter to identify each record segment row in the submission file. The Record Number, in conjunction with the Record Identifier, uniquely identifies a single record within the submission file. |
N/A
|
| ELG106 |
ELG.006.106
|
MSIS-IDENTIFICATION-NUM |
A state-assigned unique identification number used to identify a Medicaid/CHIP enrolled individual (except on service tracking payments). Value may be an SSN, temporary SSN or State-assigned eligible individual identifier. MSIS Identification Numbers are a unique "key" value used to maintain referential integrity of data distributed over multiples files, segments and reporting periods. See T-MSIS Guidance Document, "CMS Guidance: Reporting Shared MSIS Identification Numbers" for information on reporting the MSIS Identification Numbers ID for pregnant women, unborn children, mothers, and their deemed newborns younger than 1 year of age who share the same MSIS Identification Number. https://www.medicaid.gov/medicaid/data-and-systems/macbis/tmsis/tmsis-blog/entry/47572 |
N/A
|
| ELG107 |
ELG.006.107
|
HEALTH-HOME-SPA-NAME |
A free-form text field for the name of the health home program approved by CMS. This name needs to be consistent across files to be used for linking. |
N/A
|
| ELG108 |
ELG.006.108
|
HEALTH-HOME-ENTITY-NAME |
A field to identify the health home SPA in which an individual is enrolled. Because an identification numbering schema has not been established, the entities' names are being used instead. |
N/A
|
| ELG109 |
ELG.006.109
|
HEALTH-HOME-SPA-PARTICIPATION-EFF-DATE |
The first calendar day on which all of the other data elements in the same segment were effective. |
N/A
|
| ELG110 |
ELG.006.110
|
HEALTH-HOME-SPA-PARTICIPATION-END-DATE |
The last calendar day on which all of the other data elements in the same segment were effective. |
N/A
|
| ELG111 |
ELG.006.111
|
HEALTH-HOME-ENTITY-EFF-DATE |
The date on which the health home entity was approved by CMS to participate in the Health Home Program. |
N/A
|
| ELG112 |
ELG.006.112
|
STATE-NOTATION |
A free text field for the submitting state to enter whatever information it chooses. |
N/A
|
An official website of the United States government
