ELG.005.277

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TMSIS Dataguide

Medicaid.gov

Version:

CONTINUOUS-ELIGIBILITY-CODE

Data Element

DE Number

ELG277

System DE Number

ELG.005.277

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 provide continuous eligibility during the period of coverage
Size	X(3)
FLF Start Position	158
FLF Stop Position	160
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 3 characters 2. Value must be in Continuous Eligibility Code List (VVL) 3. Situational

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

RULE ID	RULE Definition
RULE-8844	If a segment is a eligibility determinants segment from a ELG file, then the continuous eligibility code value reported must be compatible with the specified T-MSIS picture format: X(3).
RULE-8884	If the continuous eligibility code is populated on the Eligibility Determinants segment from a ELG file, then the continuous eligibility 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
07/17/2025	4.0.14	ELG.005.277	UPDATE	Necessity	Conditional	Situational
07/17/2025	4.0.14	ELG.005.277	UPDATE	Coding requirement	1. Value must be 3 characters2. Value must be in Continuous Eligibility Code List (VVL)3. Conditional	1. Value must be 3 characters2. Value must be in Continuous Eligibility Code List (VVL)3. Situational
09/16/2024	4.0.0	ELG.005.277	UPDATE	File segment	None	48
09/16/2024	4.0.0	ELG.005.277	ADD	N/A		Created