ELG.005.276

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TMSIS Dataguide

Medicaid.gov

Version:

ELIGIBILITY-EXTENSION-OTHER-TEXT

Data Element

DE Number

ELG276

System DE Number

ELG.005.276

File Name

File Segment Number

File Segment Name

ELIGIBILITY-DETERMINANTS

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	A free-form text field where a state can identify the 'Other' authority used to extend eligibility.
Size	X(50)
FLF Start Position	108
FLF Stop Position	157
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 50 characters or less 2. Conditional 3. If Eligibility Extension Code is "Other", then value must be populated

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

RULE ID	RULE Definition
RULE-8843	If a segment is a eligibility determinants segment from a ELG file, then the eligibility extension other text value reported must be compatible with the specified T-MSIS picture format: X(50).
RULE-8886	If the eligibility determinants segment is populated from a ELG file and eligibility extension code is equal '995', then the eligibility extension other text must be populated.

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
06/05/2025	4.0.10	ELG.005.276	UPDATE	Definition	A free-form text field where a state can identify the �other� authority used to extend eligibility; required when 995 is used.	A free-form text field where a state can identify the 'Other' authority used to extend eligibility.
05/29/2025	4.0.9	ELG.005.276	UPDATE	Definition	A free-form text field where a state can identify the â€œotherâ€ authority used to extend eligibility; required when 995 is used.	A free-form text field where a state can identify the �other� authority used to extend eligibility; required when 995 is used.
01/16/2025	4.0.2	ELG.005.276	UPDATE	Definition	A free-form text field where a state can identify the â€śotherâ€ť authority used to extend eligibility; required when 995 is used.	A free-form text field where a state can identify the â€œotherâ€ authority used to extend eligibility; required when 995 is used.
12/19/2024	4.0.1	ELG.005.276	UPDATE	Definition	A free-form text field where a state can identify the “other” authority used to extend eligibility; required when 995 is used.	A free-form text field where a state can identify the â€śotherâ€ť authority used to extend eligibility; required when 995 is used.
09/16/2024	4.0.0	ELG.005.276	UPDATE	File segment	None	48
09/16/2024	4.0.0	ELG.005.276	ADD	N/A		Created