ELG.007.120

HEALTH-HOME-PROV-NUM

Data Element

DE Number

ELG120

System DE Number

ELG.007.120

File Name

ELG - ELIGIBLE

File Segment Number

ELG00007

File Segment Name

HEALTH-HOME-SPA-PROVIDERS

Last updated

09/21/2023

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The State-specific Medicaid Provider Identifier is a state-assigned unique identifier that states should report with all individual providers, practice groups, facilities, and other entities. This should be the identifier that is used in the state's Medicaid Management Information System.
Size	X(30)
FLF Start Position	242
FLF Stop Position	271
Segment Key Field Identifier	5
Coding Requirements	1. Value must be 30 characters or less 2. Value must match Provider Identifier (PRV.005.081) 3. Mandatory

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date
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RULE ID	RULE Definition
RULE-2212	If the health home spa name is populated on a health home SPA providers ELG file segment and the health home SPA providers health home spa provider end date is greater than the states tmsis cutover date then the effective and end dates on the health home SPA providers segment must fall with the effective and end dates of one or more continuous provider identifiers segments.
RULE-6578	If a segment is a health home spa providers segment from an ELG file, the health home provider number value reported must be compatible with the specified T-MSIS picture format: X(30).

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Measure ID	Measure Name
MIS-1-043-43	% distinct MSIS IDs with only missing values in any active segment: HEALTH-HOME-PROV-NUM (ELG00007)

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