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TMSIS Dataguide Medicaid.gov
Version 3.36.0

ELIGIBLE-CONTACT-INFORMATION

File Segment

File Segment Number

ELG00004

File Name

ELG - ELIGIBLE

Last updated

No Updates

Data Elements Reference
DE Number System DE Number Data Element Definition Valid Values
ELG061 ELG.004.061 RECORD-ID The Record ID represents the type of segment being reported. The Record ID communicates how the contents of a given row of data should be interpreted depending on which segment type the Record ID represents. Each type of segment collects different data elements so each segment type has a distinct layout. The first 3 characters identify the relevant file (e.g., ELG, PRV, CIP, etc.). The last 5 digits are the segment identifier padded with leading zeros (e.g., 00001, 00002, 00003, etc.). ELG061 Values
ELG062 ELG.004.062 SUBMITTING-STATE A code that uniquely identifies the U.S. State or Territory from which T-MSIS system data resources were received. ELG062 Values
ELG063 ELG.004.063 RECORD-NUMBER A sequential number assigned by the submitter to identify each record segment row in the submission file. The Record Number, in conjunction with the Record Identifier, uniquely identifies a single record within the submission file. N/A
ELG064 ELG.004.064 MSIS-IDENTIFICATION-NUM A state-assigned unique identification number used to identify a Medicaid/CHIP enrolled individual (except on service tracking payments). Value may be an SSN, temporary SSN or State-assigned eligible individual identifier. MSIS Identification Numbers are a unique "key" value used to maintain referential integrity of data distributed over multiples files, segments and reporting periods. See T-MSIS Guidance Document, "CMS Guidance: Reporting Shared MSIS Identification Numbers" for information on reporting the MSIS Identification Numbers ID for pregnant women, unborn children, mothers, and their deemed newborns younger than 1 year of age who share the same MSIS Identification Number. https://www.medicaid.gov/medicaid/data-and-systems/macbis/tmsis/tmsis-blog/entry/47572 N/A
ELG065 ELG.004.065 ADDR-TYPE The type of address and contact information for the eligible submitted in the record segment. ELG065 Values
ELG066 ELG.004.066 ELIGIBLE-ADDR-LN1 The first line of a potentially multi-line physical street or mailing address for a given entity (e.g. person, organization, agency, etc.). N/A
ELG067 ELG.004.067 ELIGIBLE-ADDR-LN2 The second line of a multi-line physical street or mailing address for a given entity (e.g. person, organization, agency, etc.). N/A
ELG068 ELG.004.068 ELIGIBLE-ADDR-LN3 The third line of a multi-line physical street or mailing address for a given entity (e.g. person, organization, agency, etc.). N/A
ELG069 ELG.004.069 ELIGIBLE-CITY The city component of an address associated with a given entity (e.g. person, organization, agency, etc.). N/A
ELG070 ELG.004.070 ELIGIBLE-STATE The ANSI state numeric code for the U.S. state, Territory, or the District of Columbia code for where the individual eligible to receive healthcare services resides. (The state for the type of address indicated in Address Type.) ELG070 Values
ELG071 ELG.004.071 ELIGIBLE-ZIP-CODE U.S. ZIP Code component of an address associated with a given entity (e.g. person, organization, agency, etc.) ELG071 Values
ELG072 ELG.004.072 ELIGIBLE-COUNTY-CODE Standard ANSI code used to identify a specific U.S. County. ELG072 Values
ELG073 ELG.004.073 ELIGIBLE-PHONE-NUM Phone number for a given entity (e.g. person, organization, agency). N/A
ELG074 ELG.004.074 TYPE-OF-LIVING-ARRANGEMENT A free-form text field to describe the type of living arrangement used for the eligibility determination process. N/A
ELG075 ELG.004.075 ELIGIBLE-ADDR-EFF-DATE The first calendar day on which all of the other data elements in the same segment were effective. N/A
ELG076 ELG.004.076 ELIGIBLE-ADDR-END-DATE The last calendar day on which all of the other data elements in the same segment were effective. N/A
ELG077 ELG.004.077 STATE-NOTATION A free text field for the submitting state to enter whatever information it chooses. N/A
Definition
A record to capture addresses and phone numbers of the individual.

File Segment Length
1000