ELG.021.252

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TMSIS Dataguide

Medicaid.gov

Version 3.27.0

ENROLLMENT-TYPE

Data Element

DE Number

ELG252

System DE Number

ELG.021.252

File Name

File Segment Number

File Segment Name

ENROLLMENT-TIME-SPAN-SEGMENT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	Identify the type of enrollment that the eligible person has been enrolled into as either Medicaid/Medicaid Expansion CHIP or Separate CHIP.
Size	X(1)
FLF Start Position	42
FLF Stop Position	42
Segment Key Field Identifier	3
Coding Requirements	1. Value must be in Enrollment Type List (VVL) 2. Value must be 1 character 3. If value equals 1, then associated CHIP Code (ELG.003.054) value must be in [1, 2] 4. If value equals 2, then associated CHIP Code (ELG.003.054) value must be "3" 5. A person enrolled in Medicaid/CHIP must have a primary eligibility group classification for any given day of enrollment. (There may or may not be a secondary eligibility group classification for that same day.) 6. Mandatory

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

RULE ID	RULE Definition
RULE-2514	If enrollment type is populated on an enrollment time span segment from an ELG file, then the enrollment type value reported must be in the list of valid values for enrollment type.
RULE-6337	If a segment is an enrollment time span segment segment from an ELG file, the enrollment type value reported must be compatible with the specified T-MSIS picture format: X(1).
RULE-7191	If enrollment type is for Medicaid or Medicaid expansion CHIP on an enrollment time span segment from an ELG file, then the effective date and end date on the enrollment time span segment must fall within the effective and end dates of one or more continuous variable demographics eligibility segments and the CHIP code must be for Medicaid or Medicaid expansion CHIP on the variable demographic eligibility segment.
RULE-7192	If enrollment type is for S-CHIP on an enrollment time span segment from an ELG file, then the effective date and end date on the enrollment time span segment must fall within the effective and end dates of one or more continuous variable demographics eligibility segments and the CHIP code must be for S-CHIP on the variable demographic eligibility segment.
RULE-7371	If a segment is a enrollment time span segment from an ELG file, and the MSIS ID is populated, then the enrollment type must be populated.

Measure ID	Measure Name
EL-3-002_2-31	% of MSIS IDs with CHIP-CODE = 1 (Medicaid) that have ENROLLMENT-TYPE = 2 (Separate Title XXI CHIP)
EL-3-002_3-16	% of MSIS IDs with CHIP-CODE = 2 (M-CHIP) that have ENROLLMENT-TYPE = 2 (Separate Title XXI CHIP)
EL-3-002_4-32	% of MSIS IDs with CHIP-CODE = 3 (S-CHIP) that have ENROLLMENT-TYPE = 1 (Medicaid or M-CHIP)
EL-4-001-1	Enrollment Type values where CHIP-CODE = 2 (M-CHIP)
MIS-1-092-92	% distinct MSIS IDs with only missing values in any active segment: ENROLLMENT-TYPE (ELG00021)
RULE-7191	% of record segments with ENROLLMENT-TYPE=1 that do not have a CHIP-CODE=1 or 2
RULE-7192	% of record segments with ENROLLMENT-TYPE=2 that do not have a CHIP-CODE=3
RULE-7371	% of segments missing ENROLLMENT-TYPE (ELG00021)
EL-6-040-40	% of MSIS IDs enrolled in the past year with at least one gap in enrollment over that time
EL-6-041-41	% of MSIS IDs enrolled in the past year with at least three gaps in enrollment over that time

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

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
08/26/2022	3.0.2	ELG252	ADD	Data Dictionary	DE NO\| DATA ELEMENT NAME COMPUTING\|CODING REQUIREMENT\| ELG252\|ENROLLMENT-TYPE\|	DE NO\| DATA ELEMENT NAME COMPUTING\|CODING REQUIREMENT\| ELG252\|ENROLLMENT-TYPE\|A person enrolled in Medicaid/CHIP must have a primary eligibility group classification for any given day of enrollment. (There may or may not be a secondary eligibility group classification for that same day.)