TPL.002.021

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TMSIS Dataguide

Medicaid.gov

Version 3.28.0

TPL-OTHER-COVERAGE-IND

Data Element

DE Number

TPL021

System DE Number

TPL.002.021

File Name

TPL - THIRD-PARTY LIABILITY

File Segment Number

File Segment Name

TPL-MEDICAID-ELIGIBLE-PERSON-MAIN

Last updated

No Updates

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	A flag to indicate that the Medicaid/CHIP eligible person has some other form of third party funding besides insurance coverage.
Size	X(1)
FLF Start Position	43
FLF Stop Position	43
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be in TPL Other Coverage Indicator List (VVL) 2. Value must be 1 character 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-3063	If the TPL other coverage indicator is populated on a TPL medicaid eligible person main file, then the TPL other coverage indicator indicator reported must be found in the list of valid values.
RULE-6361	If a segment is a TPL medicaid eligible person main segment from a TPL file, the TPL other coverage indicator value reported must be compatible with the specified T-MSIS picture format: X(1).

Measure ID	Measure Name
MIS-12-003-3	% distinct MSIS IDs with only missing values in any active segment: TPL-OTHER-COVERAGE-IND (TPL00002)
TPL-1-002-4	# of MSIS IDs with TPL coverage (health insurance or other)

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

Published Date	Data Guide Version	Data Element	Action	Field	Before	After