ELG.009.140

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TMSIS Dataguide

Medicaid.gov

Version 3.28.0

LOCKIN-PROV-NUM

Data Element

DE Number

ELG140

System DE Number

ELG.009.140

File Name

File Segment Number

File Segment Name

LOCK-IN-INFORMATION

Last updated

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	42
FLF Stop Position	71
Segment Key Field Identifier	3
Coding Requirements	1. Value must be 30 characters or less 2. Mandatory 3. Value must match a corresponding Provider Identifier (PRV.005.081)

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

RULE ID	RULE Definition
RULE-2258	If the lock-in provider number is populated on a lock-in information ELG file segment and the lock-in information lockin end date is greater than the states tmsis cutover date then the effective and end dates on the lock-in information segment must fall with the effective and end dates of one or more continuous provider identifiers segments.
RULE-6345	If a segment is a lock in information segment from an ELG file, then the lockin provider number value reported must be compatible with the specified T-MSIS picture format: X(30).

Measure ID	Measure Name
MIS-1-053-53	% distinct MSIS IDs with only missing values in any active segment: LOCKIN-PROV-NUM (ELG00009)

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

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
08/28/2023	3.12.0	ELG.009.140	UPDATE	Coding requirement	1. Value must be 30 characters or less2. Mandatory	1. Value must be 30 characters or less2. Mandatory3. Value must match a corresponding Provider Identifier (PRV.005.081)
06/24/2022	3.0.0	LOCKIN-PROV-NUM	UPDATE	Data Dictionary	DE NO\|DATA ELEMENT NAME\| DEFINITION\|CODING REQUIREMENT\| ELG140\|LOCKIN-PROV-NUM\| 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.\| 1.Value must be 30 characters or less 2.Value must be reported in Provider Identifier (PRV.005.080) with an associated Provider Identifier Type (PRV.005.081) equal to '1' 3.(N) mandatory 4.(DI) value must match Provider Identifier (PRV.005.081)	DE NO\|DATA ELEMENT NAME\| DEFINITION\|CODING REQUIREMENT\| ELG140\|LOCKIN-PROV-NUM\| 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.\| 1.Value must be 30 characters or less 2.(N) mandatory