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Data Element
ELG014
ELG.001.014
Definition | A free text field for the submitting state to enter whatever information it chooses. |
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Size | X(500) |
FLF Start Position | 83 |
FLF Stop Position | 582 |
Segment Key Field Identifier | Not Applicable |
Coding Requirements | 1. Value must be 500 characters or less |
Valid Value Code Set | Valid Value Code | Valid Value Name | Valid Value Description | Effective Start Date | Effective End Date |
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DE Number | System DE Number | DE Name | File Segment Number | File Segment Name |
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CIP014 | CIP.001.014 | STATE-NOTATION | CIP00001 | FILE-HEADER-RECORD-IP |
CIP229 | CIP.002.229 | STATE-NOTATION | CIP00002 | CLAIM-HEADER-RECORD-IP |
CIP273 | CIP.003.273 | STATE-NOTATION | CIP00003 | CLAIM-LINE-RECORD-IP |
CLT014 | CLT.001.014 | STATE-NOTATION | CLT00001 | FILE-HEADER-RECORD-LT |
CLT173 | CLT.002.173 | STATE-NOTATION | CLT00002 | CLAIM-HEADER-RECORD-LT |
CLT226 | CLT.003.226 | STATE-NOTATION | CLT00003 | CLAIM-LINE-RECORD-LT |
COT014 | COT.001.014 | STATE-NOTATION | COT00001 | FILE-HEADER-RECORD-OT |
COT152 | COT.002.152 | STATE-NOTATION | COT00002 | CLAIM-HEADER-RECORD-OT |
COT214 | COT.003.214 | STATE-NOTATION | COT00003 | CLAIM-LINE-RECORD-OT |
CRX014 | CRX.001.014 | STATE-NOTATION | CRX00001 | FILE-HEADER-RECORD-RX |
CRX106 | CRX.002.106 | STATE-NOTATION | CRX00002 | CLAIM-HEADER-RECORD-RX |
CRX153 | CRX.003.153 | STATE-NOTATION | CRX00003 | CLAIM-LINE-RECORD-RX |
ELG028 | ELG.002.028 | STATE-NOTATION | ELG00002 | PRIMARY-DEMOGRAPHICS-ELIGIBILITY |
ELG059 | ELG.003.059 | STATE-NOTATION | ELG00003 | VARIABLE-DEMOGRAPHICS-ELIGIBILITY |
ELG077 | ELG.004.077 | STATE-NOTATION | ELG00004 | ELIGIBLE-CONTACT-INFORMATION |
ELG101 | ELG.005.101 | STATE-NOTATION | ELG00005 | ELIGIBILITY-DETERMINANTS |
ELG112 | ELG.006.112 | STATE-NOTATION | ELG00006 | HEALTH-HOME-SPA-PARTICIPATION-INFORMATION |
ELG124 | ELG.007.124 | STATE-NOTATION | ELG00007 | HEALTH-HOME-SPA-PROVIDERS |
ELG134 | ELG.008.134 | STATE-NOTATION | ELG00008 | HEALTH-HOME-CHRONIC-CONDITIONS |
ELG144 | ELG.009.144 | STATE-NOTATION | ELG00009 | LOCK-IN-INFORMATION |
ELG157 | ELG.010.157 | STATE-NOTATION | ELG00010 | MFP-INFORMATION |
ELG166 | ELG.011.166 | STATE-NOTATION | ELG00011 | STATE-PLAN-OPTION-PARTICIPATION |
ELG176 | ELG.012.176 | STATE-NOTATION | ELG00012 | WAIVER-PARTICIPATION |
ELG186 | ELG.013.186 | STATE-NOTATION | ELG00013 | LTSS-PARTICIPATION |
ELG198 | ELG.014.198 | STATE-NOTATION | ELG00014 | MANAGED-CARE-PARTICIPATION |
ELG207 | ELG.015.207 | STATE-NOTATION | ELG00015 | ETHNICITY-INFORMATION |
ELG218 | ELG.016.218 | STATE-NOTATION | ELG00016 | RACE-INFORMATION |
ELG227 | ELG.017.227 | STATE-NOTATION | ELG00017 | DISABILITY-INFORMATION |
ELG236 | ELG.018.236 | STATE-NOTATION | ELG00018 | 1115A-DEMONSTRATION-INFORMATION |
ELG245 | ELG.020.245 | STATE-NOTATION | ELG00020 | HCBS-CHRONIC-CONDITIONS-NON-HEALTH-HOME |
ELG255 | ELG.021.255 | STATE-NOTATION | ELG00021 | ENROLLMENT-TIME-SPAN-SEGMENT |
ELG267 | ELG.022.267 | STATE-NOTATION | ELG00022 | ELG-IDENTIFIERS |
MCR014 | MCR.001.014 | STATE-NOTATION | MCR00001 | FILE-HEADER-RECORD-MANAGED-CARE |
MCR032 | MCR.002.032 | STATE-NOTATION | MCR00002 | MANAGED-CARE-MAIN |
MCR052 | MCR.003.052 | STATE-NOTATION | MCR00003 | MANAGED-CARE-LOCATION-AND-CONTACT-INFO |
MCR061 | MCR.004.061 | STATE-NOTATION | MCR00004 | MANAGED-CARE-SERVICE-AREA |
MCR071 | MCR.005.071 | STATE-NOTATION | MCR00005 | MANAGED-CARE-OPERATING-AUTHORITY |
MCR080 | MCR.006.080 | STATE-NOTATION | MCR00006 | MANAGED-CARE-PLAN-POPULATION-ENROLLED |
MCR089 | MCR.007.089 | STATE-NOTATION | MCR00007 | MANAGED-CARE-ACCREDITATION-ORGANIZATION |
PRV014 | PRV.001.014 | STATE-NOTATION | PRV00001 | FILE-HEADER-RECORD-PROVIDER |
PRV037 | PRV.002.037 | STATE-NOTATION | PRV00002 | PROV-ATTRIBUTES-MAIN |
PRV058 | PRV.003.058 | STATE-NOTATION | PRV00003 | PROV-LOCATION-AND-CONTACT-INFO |
PRV070 | PRV.004.070 | STATE-NOTATION | PRV00004 | PROV-LICENSING-INFO |
PRV082 | PRV.005.082 | STATE-NOTATION | PRV00005 | PROV-IDENTIFIERS |
PRV092 | PRV.006.092 | STATE-NOTATION | PRV00006 | PROV-TAXONOMY-CLASSIFICATION |
PRV104 | PRV.007.104 | STATE-NOTATION | PRV00007 | PROV-MEDICAID-ENROLLMENT |
PRV113 | PRV.008.113 | STATE-NOTATION | PRV00008 | PROV-AFFILIATED-GROUPS |
PRV123 | PRV.009.123 | STATE-NOTATION | PRV00009 | PROV-AFFILIATED-PROGRAMS |
PRV136 | PRV.010.136 | STATE-NOTATION | PRV00010 | PROV-BED-TYPE-INFO |
TPL014 | TPL.001.014 | STATE-NOTATION | TPL00001 | FILE-HEADER-RECORD-TPL |
TPL027 | TPL.002.027 | STATE-NOTATION | TPL00002 | TPL-MEDICAID-ELIGIBLE-PERSON-MAIN |
TPL050 | TPL.003.050 | STATE-NOTATION | TPL00003 | TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO |
TPL061 | TPL.004.061 | STATE-NOTATION | TPL00004 | TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-CATEGORIES |
TPL070 | TPL.005.070 | STATE-NOTATION | TPL00005 | TPL-MEDICAID-ELIGIBLE-OTHER-THIRD-PARTY-COVERAGE-INFORMATION |
TPL086 | TPL.006.086 | STATE-NOTATION | TPL00006 | TPL-ENTITY-CONTACT-INFORMATION |