PRV.008.110

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TMSIS Dataguide

Medicaid.gov

Version 3.27.0

SUBMITTING-STATE-PROV-ID-OF-AFFILIATED-ENTITY

Data Element

DE Number

PRV110

System DE Number

PRV.008.110

File Name

File Segment Number

File Segment Name

PROV-AFFILIATED-GROUPS

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The unique, state-assigned identification number for the group or subpart with which the individual or subpart is associated. (The submitting state's unique identifier for the group. (Note: The group will also be in the provider data set as a provider (i.e., the group-as-a-provider).
Size	X(30)
FLF Start Position	52
FLF Stop Position	81
Segment Key Field Identifier	3
Coding Requirements	1. Value must not contain a pipe symbol 2. Value must be 30 characters or less 3. 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-6900	If a segment is a provider affiliated groups segment from a PRV file, then the submitting state provider identification of affiliated entity value reported must be compatible with the specified T-MSIS picture format: X(30).

Measure ID	Measure Name
MIS-11-050-50	% distinct SUBMITTING-STATE-PROV-IDs with only missing values in any active segment: SUBMITTING-STATE-PROV-ID-OF-AFFILIATED-ENTITY (PRV00008)

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

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
06/24/2022	3.0.0	PRV110/ SUBMITTING-STATE-PROV-ID-OF-AFFILIATED-ENTITY	Modify DE Width	Data Dictionary - Record Layout	SIZE X(12)	SIZE X(30)