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Data Element
FTX086
FTX.003.086
| Definition | A state-assigned unique identification number used to identify a Medicaid/CHIP enrolled individual. The value may be an SSN, temporary SSN or State-assigned eligible individual identifier. MSIS Identification Numbers are a unique 'key' value used to maintain referential integrity of data distributed over multiples files, segments and reporting periods. See T-MSIS Guidance Document, "CMS Guidance: Reporting Shared MSIS Identification Numbers" for information on reporting the MSIS Identification Numbers ID for pregnant women, unborn children, mothers, and their deemed newborns younger than 1 year of age who share the same MSIS Identification Number https://www.medicaid.gov/tmsis/dataguide/t-msis-coding-blog/reporting-shared-msis-identification-numbers-eligibility/. MSIS-IDENTIFICATION-NUM is situational in the FTX00003 segment because some of the covered lives on a commercial individual market health insurance policy may not be eligible for Medicaid or CHIP, although at least one member of the policy must be eligible for Medicaid or CHIP. There should be one FTX00003 segment for each person covered under the commercial individual market policy for which the premium assistance payment is being paid, regardless of whether that particular person is eligible for and enrolled in Medicaid or CHIP. |
|---|---|
| Size | X(20) |
| FLF Start Position | 595 |
| FLF Stop Position | 614 |
| Segment Key Field Identifier | Not Applicable |
| Coding Requirements | 1. Value must be 20 characters or less 2. Mandatory 3. Value must match MSIS Identification Number (ELG.002.019) 4. When Adjustment Indicator does not equal "1", there must be a valid record of type Enrollment Time Span where the Payment Period Start Date is equal to or greater than Enrollment Effective Date |
| 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 |
|---|---|---|---|---|
| CIP022 | CIP.002.022 | MSIS-IDENTIFICATION-NUM | CIP00002 | CLAIM-HEADER-RECORD-IP |
| CIP234 | CIP.003.234 | MSIS-IDENTIFICATION-NUM | CIP00003 | CLAIM-LINE-RECORD-IP |
| CLT022 | CLT.002.022 | MSIS-IDENTIFICATION-NUM | CLT00002 | CLAIM-HEADER-RECORD-LT |
| CLT187 | CLT.003.187 | MSIS-IDENTIFICATION-NUM | CLT00003 | CLAIM-LINE-RECORD-LT |
| COT022 | COT.002.022 | MSIS-IDENTIFICATION-NUM | COT00002 | CLAIM-HEADER-RECORD-OT |
| COT157 | COT.003.157 | MSIS-IDENTIFICATION-NUM | COT00003 | CLAIM-LINE-RECORD-OT |
| CRX022 | CRX.002.022 | MSIS-IDENTIFICATION-NUM | CRX00002 | CLAIM-HEADER-RECORD-RX |
| CRX111 | CRX.003.111 | MSIS-IDENTIFICATION-NUM | CRX00003 | CLAIM-LINE-RECORD-RX |
| ELG019 | ELG.002.019 | MSIS-IDENTIFICATION-NUM | ELG00002 | PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
| ELG033 | ELG.003.033 | MSIS-IDENTIFICATION-NUM | ELG00003 | VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
| ELG064 | ELG.004.064 | MSIS-IDENTIFICATION-NUM | ELG00004 | ELIGIBLE-CONTACT-INFORMATION |
| ELG082 | ELG.005.082 | MSIS-IDENTIFICATION-NUM | ELG00005 | ELIGIBILITY-DETERMINANTS |
| ELG106 | ELG.006.106 | MSIS-IDENTIFICATION-NUM | ELG00006 | HEALTH-HOME-SPA-PARTICIPATION-INFORMATION |
| ELG117 | ELG.007.117 | MSIS-IDENTIFICATION-NUM | ELG00007 | HEALTH-HOME-SPA-PROVIDERS |
| ELG129 | ELG.008.129 | MSIS-IDENTIFICATION-NUM | ELG00008 | HEALTH-HOME-CHRONIC-CONDITIONS |
| ELG139 | ELG.009.139 | MSIS-IDENTIFICATION-NUM | ELG00009 | LOCK-IN-INFORMATION |
| ELG149 | ELG.010.149 | MSIS-IDENTIFICATION-NUM | ELG00010 | MFP-INFORMATION |
| ELG162 | ELG.011.162 | MSIS-IDENTIFICATION-NUM | ELG00011 | STATE-PLAN-OPTION-PARTICIPATION |
| ELG171 | ELG.012.171 | MSIS-IDENTIFICATION-NUM | ELG00012 | WAIVER-PARTICIPATION |
| ELG181 | ELG.013.181 | MSIS-IDENTIFICATION-NUM | ELG00013 | LTSS-PARTICIPATION |
| ELG191 | ELG.014.191 | MSIS-IDENTIFICATION-NUM | ELG00014 | MANAGED-CARE-PARTICIPATION |
| ELG203 | ELG.015.203 | MSIS-IDENTIFICATION-NUM | ELG00015 | ETHNICITY-INFORMATION |
| ELG212 | ELG.016.212 | MSIS-IDENTIFICATION-NUM | ELG00016 | RACE-INFORMATION |
| ELG223 | ELG.017.223 | MSIS-IDENTIFICATION-NUM | ELG00017 | DISABILITY-INFORMATION |
| ELG232 | ELG.018.232 | MSIS-IDENTIFICATION-NUM | ELG00018 | 1115A-DEMONSTRATION-INFORMATION |
| ELG241 | ELG.020.241 | MSIS-IDENTIFICATION-NUM | ELG00020 | HCBS-CHRONIC-CONDITIONS-NON-HEALTH-HOME |
| ELG251 | ELG.021.251 | MSIS-IDENTIFICATION-NUM | ELG00021 | ENROLLMENT-TIME-SPAN-SEGMENT |
| ELG260 | ELG.022.260 | MSIS-IDENTIFICATION-NUM | ELG00022 | ELG-IDENTIFIERS |
| FTX042 | FTX.002.042 | MSIS-IDENTIFICATION-NUM | FTX00002 | INDIVIDUAL-CAPITATION-PMPM |
| FTX127 | FTX.004.127 | MSIS-IDENTIFICATION-NUM | FTX00004 | GROUP-INSURANCE-PREMIUM-PAYMENT |
| FTX173 | FTX.005.173 | MSIS-IDENTIFICATION-NUM | FTX00005 | COST-SHARING-OFFSET |
| FTX215 | FTX.006.215 | MSIS-IDENTIFICATION-NUM | FTX00006 | VALUE-BASED-PAYMENT |
| FTX383 | FTX.095.383 | MSIS-IDENTIFICATION-NUM | FTX00095 | MISCELLANEOUS-PAYMENT |
| TPL019 | TPL.002.019 | MSIS-IDENTIFICATION-NUM | TPL00002 | TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
| TPL032 | TPL.003.032 | MSIS-IDENTIFICATION-NUM | TPL00003 | TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
| TPL066 | TPL.005.066 | MSIS-IDENTIFICATION-NUM | TPL00005 | TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION |