ELG.005.280

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TMSIS Dataguide

Medicaid.gov

Version:

INCOME-STANDARD-OTHER-TEXT

Data Element

DE Number

ELG280

System DE Number

ELG.005.280

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" income standard used to assign the corresponding primary eligibility group. Required when "Other" is reported to Income Standard Code.
Size	X(50)
FLF Start Position	213
FLF Stop Position	262
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 50 characters or less 2. Conditional 3. If Income Standard Code equals "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-8847	If a segment is a eligibility determinants segment from a ELG file, then the income standard other text value reported must be compatible with the specified T-MSIS picture format: X(50).
RULE-8888	If the eligibility determinants segment is populated from a ELG file and income standard code is equal '95', then the income standard 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
09/16/2024	4.0.0	ELG.005.280	UPDATE	File segment	None	48
09/16/2024	4.0.0	ELG.005.280	ADD	N/A		Created