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TMSIS Dataguide Medicaid.gov
Version 3.27.0

ETHNICITY-OTHER

Data Element

DE Number

ELG271

System DE Number

ELG.015.271

File Name

ELG - ELIGIBLE

File Segment Number

ELG00015

File Segment Name

ETHNICITY-INFORMATION

Last updated

Definition

A freeform field to document the ethnicity of the beneficiary when the beneficiary identifies themselves as Another Hispanic, Latino, or Spanish origin (ethnicity code 4).

Size X(25)
FLF Start Position 559
FLF Stop Position 583
Segment Key Field Identifier Not Applicable
Coding Requirements

1. Value must be 25 characters or less
2. If associated Ethnicity Code (ELG.015.204) is in ["4"], then value must be populated.
3. Conditional

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