ELG.005.088

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TMSIS Dataguide

Medicaid.gov

Version 3.27.0

LEVEL-OF-CARE-STATUS

Data Element

DE Number

ELG088

System DE Number

ELG.005.088

File Name

File Segment Number

File Segment Name

ELIGIBILITY-DETERMINANTS

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The level of care required to meet an individual's needs and to determine LTSS program eligibility.
Size	X(3)
FLF Start Position	61
FLF Stop Position	63
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be in Level of Care Status List (VVL) 2. Value must be 3 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
RULE-2136	If the level of care status is populated on a eligibility determinants file, then the level of care status reported must be found in the list of valid values.
RULE-6961	If a segment is an eligibility determinants segment from an ELG file, then the level of care status value reported must be compatible with the specified T-MSIS picture format: X(3).

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
06/24/2022	3.0.0	LEVEL-OF-CARE-STATUS	UPDATE	Data Dictionary	DE NO\|DATA ELEMENT NAME\| DEFINITION\|CODING REQUIREMENT\| ELG088\|LEVEL-OF-CARE-STATUS\|\| 1. Value must be in Level of Care Status List (VVL) 2. Value must be 3 characters 3. Conditional	DE NO\|DATA ELEMENT NAME\| DEFINITION\|CODING REQUIREMENT\| ELG088\|LEVEL-OF-CARE-STATUS\|\| 1. Value must be in Level of Care Status List (VVL) 2. Value must be 3 characters 3. Mandatory