ELG.005.275

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TMSIS Dataguide

Medicaid.gov

Version:

ELIGIBILITY-EXTENSION-CODE

Data Element

DE Number

ELG275

System DE Number

ELG.005.275

File Name

File Segment Number

File Segment Name

ELIGIBILITY-DETERMINANTS

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	A code to identify the authority used to extend eligibility during the period of coverage. This code should correspond to the eligibility characteristics, including eligibility redetermination date, with which the code is being reported.
Size	X(3)
FLF Start Position	105
FLF Stop Position	107
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 3 characters or less 2. Value must be in Eligibility Extension Code List (VVL) 3. Conditional

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date

RULE ID	RULE Definition
RULE-8842	If a segment is a eligibility determinants segment from a ELG file, then the eligibility extension code value reported must be compatible with the specified T-MSIS picture format: X(3).
RULE-8883	If the eligibility extension code is populated on the Eligibility Determinants segment from a ELG file, then the eligibility extension code reported must be found in the list of valid values.

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/16/2024	4.0.0	ELG.005.275	UPDATE	File segment	None	48
09/16/2024	4.0.0	ELG.005.275	ADD	N/A		Created