PRV.007.103

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TMSIS Dataguide

Medicaid.gov

Version:

APPL-DATE

Data Element

DE Number

PRV103

System DE Number

PRV.007.103

File Name

File Segment Number

File Segment Name

PROV-MEDICAID-ENROLLMENT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The date on which the provider applied for enrollment into the State's Medicaid and/or CHIP program.
Size	9(8)
FLF Start Position	72
FLF Stop Position	79
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. The date must be a valid calendar date in the form "CCYYMMDD" 2. Value must not be earlier than associated Provider Medicaid Effective Date (PRV.007.098) value 3. Mandatory

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

RULE ID	RULE Definition
RULE-2959	If a segment is a provider medicaid enrollment segment from an PRV file, then the application date value reported must be a valid date of the form CCYYMMDD.

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	PRV.007.103	UPDATE	File segment	None	93
09/16/2024	4.0.0	PRV.007.103	ADD	N/A		Created