ELG.013.183

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TMSIS Dataguide

Medicaid.gov

Version 3.36.0

LTSS-PROV-NUM

Data Element

DE Number

ELG183

System DE Number

ELG.013.183

File Name

File Segment Number

File Segment Name

LTSS-PARTICIPATION

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	A unique identification number assigned by the state to the long term care facility furnishing healthcare services to the individual.
Size	X(30)
FLF Start Position	43
FLF Stop Position	72
Segment Key Field Identifier	4
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-2357	If the LTSS provider number is populated on a LTSS participation ELG file segment and the LTSS participation LTSS eligibility end date is greater than the states tmsis cutover date then the effective and end dates on the LTSS participation segment must fall with the effective and end dates of one or more continuous provider identifiers segments.
RULE-6290	If a segment is a LTSS participation segment from an ELG file, then the LTSS provider number value reported must be compatible with the specified T-MSIS picture format: X(30).

Measure ID	Measure Name
MIS-1-067-67	% distinct MSIS IDs with only missing values in any active segment: LTSS-PROV-NUM (ELG00013)

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

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/21/2023	3.13.0	ELG.013.183	UPDATE	Segment key field identifier	Not Applicable	4
08/28/2023	3.12.0	ELG.013.183	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	LTSS-PROV-NUM	UPDATE	Data Dictionary	DE NO\|DATA ELEMENT NAME\| DEFINITION\|CODING REQUIREMENT\| ELG183\|LTSS-PROV-NUM\| A unique identification number assigned by the state to the long term care facility furnishing healthcare services to the individual.\| 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\| ELG183\|LTSS-PROV-NUM\|A unique identification number assigned by the state to the long term care facility furnishing healthcare services to the individual.\| 1.Value must be 30 characters or less 2.(N) mandatory\|