ELG.018.234

1115A-EFF-DATE

Data Element

DE Number

ELG234

System DE Number

ELG.018.234

File Name

ELG - ELIGIBLE

File Segment Number

ELG00018

File Segment Name

1115A-DEMONSTRATION-INFORMATION

Last updated

09/12/2024

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The first calendar day on which all of the other data elements in the same segment were effective.
Size	9(8)
FLF Start Position	43
FLF Stop Position	50
Segment Key Field Identifier	(a)
Coding Requirements	1. Value must be 8 characters in the form "CCYYMMDD" 2. The date must be a valid calendar date (i.e. Feb 29th only on the leap year, never April 31st or Sept 31st) 3. Value must be before or the same as the associated Segment End Date value 4. Mandatory 5. Value of the CC component must be in [18,19,20]

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-2475	If a segment is an 1115a demonstration information segment from an ELG file, then the 1115a effective date value reported must be a valid date of the form CCYYMMDD.
RULE-2477	If 1115(A) effective date and 1115(A) end date are populated on a 1115(A) demonstration information segment from an ELG file, then the 1115(A) effective date value reported must be before or equal to the 1115(A) end date value reported.
RULE-7549	If the 1115A demonstration indicator is equal to 1 (yes) on a non-denied claim from an RX file, and the prescription fill date is within the 1115A effective and end dates, then the 1115A demonstration indicator value reported on the 1115A demonstration information segment must be populated with a 1 value.
RULE-7550	If the 1115A demonstration indicator is equal to 1 (yes) on a non-denied claim from an IP file, and the admission date is within the 1115A effective and end dates, then the 1115A demonstration indicator value reported on the 1115A demonstration information segment must be populated with a 1 value.
RULE-7551	If the 1115A demonstration indicator is equal to 1 (yes) on a non-denied claim from an LT file, and the beginning date of service is within the 1115A effective and end dates, then the 1115A demonstration indicator value reported on the 1115A demonstration information segment must be populated with a 1 value.
RULE-7552	If the 1115A demonstration indicator is equal to 1 (yes) on a non-denied claim from an OT file, and the beginning date of service is within the 1115A effective and end dates, then the 1115A demonstration indicator value reported on the 1115A demonstration information segment must be populated with a 1 value.

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Measure ID	Measure Name
EL-14-017-17	Ratio of errors for overlapping segment eff/end dates [RULE-2478] to all active 1115A-DEMONSTRATION-INFORMATION (ELG00018) segments across all reporting and coverage periods
MIS-1-085-85	% distinct MSIS IDs with only missing values in any active segment: 1115A-EFF-DATE (ELG00018)
RULE-2478	Ratio of errors for overlapping segment eff/end dates [RULE-2478] to all active 1115A-DEMONSTRATION-INFORMATION (ELG00018) segments

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DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
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Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/12/2024	3.29.0	ELG.018.234	UPDATE	Coding requirement	1. Value must be 8 characters in the form "CCYYMMDD"2. The date must be a valid calendar date (i.e. Feb 29th only on the leap year, never April 31st or Sept 31st)3. Value must be before or the same as the associated Segment End Date value4. Mandatory5. Value of the CC component must be in ['18', '19', '20']	1. Value must be 8 characters in the form "CCYYMMDD"2. The date must be a valid calendar date (i.e. Feb 29th only on the leap year, never April 31st or Sept 31st)3. Value must be before or the same as the associated Segment End Date value4. Mandatory5. Value of the CC component must be in [18,19,20]
09/21/2023	3.13.0	ELG.018.234	UPDATE	Segment key field identifier	Not Applicable	(a)