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TMSIS Dataguide Medicaid.gov
Version 3.27.0

STATE-PLAN-OPTION-TYPE

Data Element

DE Number

ELG163

System DE Number

ELG.011.163

File Name

ELG - ELIGIBLE

File Segment Number

ELG00011

File Segment Name

STATE-PLAN-OPTION-PARTICIPATION

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition This field specifies the State Plan Options in which the individual is enrolled. Use on occurrence for each State Plan Option enrollment.
Size X(2)
FLF Start Position 42
FLF Stop Position 43
Segment Key Field Identifier 3
Coding Requirements 1. Value must be in State Plan Option Type List (VVL)
2. If associated Eligibility Group (ELG.005.087) value is in [ "72", "73", "74", "75" ], and Restricted Benefits Code (ELG.DE.097) is "1" or "7", then value must be "06"
3. Value must be 2 characters
4. Mandatory
5. Value must equal '02' when Program Type (CIP.002.129) equals '13'
6. Value must equal '02' when Program Type (COT.002.065) equals '13'
Valid Value Code Set Valid Value Code Valid Value Name Valid Value Description Effective Start Date Effective End Date
DE Number System DE Number DE Name File Segment Number File Segment Name