Official websites use .gov
A
.gov website belongs to an official government
organization in the United States.
Secure .gov websites use HTTPS
A
lock () or https:// means you've safely connected to
the .gov website. Share sensitive information only on official,
secure websites.
Data Element
PRV103
PRV.007.103
No Updates
Definition | The date on which the provider applied for enrollment into the State's Medicaid and/or CHIP program. |
---|---|
Size | 9(8) |
FLF Start Position | 72 |
FLF Stop Position | 79 |
Segment Key Field Identifier | Not Applicable |
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 not be earlier than associated Provider Medicaid Effective Date (PRV.007.098) value 4. Mandatory |
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 |
---|