ELG.005.084

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TMSIS Dataguide

Medicaid.gov

Version 3.28.0

MEDICAID-BASIS-OF-ELIGIBILITY

Data Element

DE Number

ELG084

System DE Number

ELG.005.084

File Name

File Segment Number

File Segment Name

ELIGIBILITY-DETERMINANTS

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	[No longer essential - Both data element and associated requirement(s); preserved for file submission integrity. See Data Dictionary v2.3 for specific definition and coding requirement description(s).]
Size	X(2)
FLF Start Position	54
FLF Stop Position	55
Segment Key Field Identifier	Not Applicable
Coding Requirements	Not Applicable

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

RULE ID	RULE Definition
RULE-2122	If the medicaid basis of eligibilty is populated on a eligibility determinants file, then the medicaid basis of eligibilty reported must be found in the list of valid values.
RULE-6621	If a segment is an eligibility determinants segment from an ELG file, then the Medicaid basis of eligibility value reported must be compatible with the specified T-MSIS picture format: X(2).

Measure ID	Measure Name
MIS-1-028-28	% distinct MSIS IDs with only missing values in any active segment: MEDICAID-BASIS-OF-ELIGIBILITY (ELG00005)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
04/09/2021	3.0.0	MEDICAID-BASIS-OF-ELIGIBILITY	UPDATE	Data Dictionary - Valid Values	VALUE_SET_ID\|EFFECTIVE_DATE\|END_DATE\|VALUE\|NAME\|DESCRIPTION MEDICAID-BASIS-OF-ELIGIBILITY\|00010101\|99991231\|00\|Individual was not eligible for Medicaid at any time during the month\|	VALUE_SET_ID\|EFFECTIVE_DATE\|END_DATE\|VALUE\|NAME\|DESCRIPTION MEDICAID-BASIS-OF-ELIGIBILITY\|00010101\|99991231\|00\|Individual was not eligible for Medicaid (or Medicaid-expansion CHIP) at any time during the month, and Individual was eligible for separate CHIP\|