ELG.004.065

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TMSIS Dataguide

Medicaid.gov

Version 3.28.0

ADDR-TYPE

Data Element

DE Number

ELG065

System DE Number

ELG.004.065

File Name

File Segment Number

File Segment Name

ELIGIBLE-CONTACT-INFORMATION

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The type of address and contact information for the eligible submitted in the record segment.
Size	X(2)
FLF Start Position	42
FLF Stop Position	43
Segment Key Field Identifier	3
Coding Requirements	1. Value must be in Eligible Address Type List (VVL) 2. Value must be 2 characters 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

Measure ID	Measure Name
EL-1-022-22	% of MSIS IDs without a primary address (ELIGIBLE-ADDR-TYPE not equal 1)
EL-1-023-23	% of MSIS IDs in which the primary home address county code, zip code, or state is not in-state
EL-1-024-30	% of MSIS IDs in which a non-primary home address county code, zip code, or state is not in-state and not missing
MIS-1-018-18	% distinct MSIS IDs with only missing values in any active segment: ELIGIBLE-ADDR-TYPE (ELG00004)
RULE-7558	% of record segments with primary home address and contact information that have missing Eligible Phone Number
EL-1-024-24	% of MSIS IDs in which a non-primary home address county code, zip code, or state is not in-state

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
PRV046	PRV.003.046	ADDR-TYPE	PRV00003	PROV-LOCATION-AND-CONTACT-INFO

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
06/24/2022	3.0.0	ELG065	UPDATE	Data Dictionary	DE NO\| DATA ELEMENT NAME COMPUTING\| ELG065\|ADDR-TYPE	DE NO\| DATA ELEMENT NAME COMPUTING\| ELG065\|ELIGIBLE-ADDR-TYPE
06/24/2022	3.0.0	TPL-ENTITY-ADDR-TYPE	UPDATE	Data Dictionary	DE No\|Data Element Name\|Definition\| CODING REQUIREMENT\| TPL.076\|TPL-ENTITY-ADDR-TYPE\|\| 1.(LV) value must be in TPL Entity Address Type List (VVL) 2.(S) value must be 2 characters 3.(N) conditional	DE No\|Data Element Name\|Definition\| CODING REQUIREMENT\| TPL.076\|TPL-ENTITY-ADDR-TYPE\|\| 1.(LV) value must be in TPL Entity Address Type List (VVL) 2.(S) value must be 2 characters 3.(N) mandatory