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TMSIS Dataguide Medicaid.gov

Version:

ELIGIBILITY-TERMINATION-REASON-OTHER-TYPE-TEXT

Data Element

DE Number

ELG281

System DE Number

ELG.005.281

File Name

ELG - ELIGIBLE

File Segment Number

ELG00005

File Segment Name

ELIGIBILITY-DETERMINANTS

Last updated

Definition Value must be populated with a state-specific reason for termination when the ELIGIBILITY-TERMINATION-REASON value is 'Other'.
Size X(100)
FLF Start Position 263
FLF Stop Position 362
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be 100 characters or less
2. Value must be populated when Eligibility Termination Reason equals "22" (Other)
3. Value must not be populated when Eligibility Termination Reason does not equal "22" (Other)
4. Conditional
Valid Value Code Set Valid Value Code Valid Value Name Valid Value Description Effective Start Date Effective End Date
DE Number System DE Number DE Name File Segment Number File Segment Name