| ELG188 |
ELG.014.188
|
RECORD-ID |
The Record ID represents the type of segment being reported. The Record ID communicates how the contents of a given row of data should be interpreted depending on which segment type the Record ID represents. Each type of segment collects different data elements so each segment type has a distinct layout. The first 3 characters identify the relevant file (e.g., ELG, PRV, CIP, etc.). The last 5 digits are the segment identifier padded with leading zeros (e.g., 00001, 00002, 00003, etc.). |
ELG188 Values
|
| ELG189 |
ELG.014.189
|
SUBMITTING-STATE |
A code that uniquely identifies the U.S. State or Territory from which T-MSIS system data resources were received. |
ELG189 Values
|
| ELG190 |
ELG.014.190
|
RECORD-NUMBER |
A sequential number assigned by the submitter to identify each record segment row in the submission file. The Record Number, in conjunction with the Record Identifier, uniquely identifies a single record within the submission file. |
N/A
|
| ELG191 |
ELG.014.191
|
MSIS-IDENTIFICATION-NUM |
A state-assigned unique identification number used to identify a Medicaid/CHIP enrolled individual. 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/ |
N/A
|
| ELG192 |
ELG.014.192
|
MANAGED-CARE-PLAN-ID |
The managed care plan identification number under which the eligible individual is enrolled. See T-MSIS Guidance Document, "CMS Guidance: Best Practice for Reporting Managed-Care-Plan-ID in the Eligible File".
https://www.medicaid.gov/tmsis/dataguide/t-msis-coding-blog/reporting-managedcareplantype-in-the-eligible-file-managed-care/
See T-MSIS Guidance Document, "CMS Guidance: Preliminary guidance for Primary Care Case Management Reporting".
https://www.medicaid.gov/tmsis/dataguide/t-msis-coding-blog/cms-guidance-primary-care-case-management-reporting-updated/ |
N/A
|
| ELG193 |
ELG.014.193
|
MANAGED-CARE-PLAN-TYPE |
A model of health care delivery organized to provide a defined set of services. See T-MSIS Guidance Document, "CMS Guidance: Best Practice for Reporting Non-Emergency Medical Transportation (NEMT) Prepaid Ambulatory Health Plans (PAHPs) in the T-MSIS Managed Care File"
https://www.medicaid.gov/tmsis/dataguide/t-msis-coding-blog/reporting-nonemergency-medical-transportation-nemt-prepaid-ambulatory-health-plans-pahps-in-the-tmsis-managed-care-filemanaged-care/
See T-MSIS Guidance Document, "CMS Guidance: Best Practice for Reporting Managed Care Plan Type in the T-MSIS Managed Care File"
https://www.medicaid.gov/tmsis/dataguide/t-msis-coding-blog/reporting-managedcareplantype-in-the-t-msis-managed-care-file-managed-care/ |
ELG193 Values
|
| ELG196 |
ELG.014.196
|
MANAGED-CARE-PLAN-ENROLLMENT-EFF-DATE |
The first calendar day on which all of the other data elements in the same segment were effective. |
N/A
|
| ELG197 |
ELG.014.197
|
MANAGED-CARE-PLAN-ENROLLMENT-END-DATE |
The last calendar day on which all of the other data elements in the same segment were effective. |
N/A
|
| ELG198 |
ELG.014.198
|
STATE-NOTATION |
A free text field for the submitting state to enter whatever information it chooses. |
N/A
|
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