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TMSIS Dataguide Medicaid.gov
Version 3.27.0

FILE-HEADER-RECORD-ELIGIBILITY

File Segment

File Segment Number

ELG00001

File Name

ELG - ELIGIBLE

Last updated

No Updates

DE Number System DE Number Data Element Definition Valid Values
ELG001 ELG.001.001 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.). ELG001 Values
ELG002 ELG.001.002 DATA-DICTIONARY-VERSION

A data element to capture the version of the T-MSIS data dictionary that was used to build the file.

ELG002 Values
ELG003 ELG.001.003 SUBMISSION-TRANSACTION-TYPE A data element to identify the whether the transactions in the file are original submissions of the data, a resubmission of a previously submitted file, or corrections of edit rejects. ELG003 Values
ELG004 ELG.001.004 FILE-ENCODING-SPECIFICATION Denotes which supported file encoding standard was used to create the file. ELG004 Values
ELG005 ELG.001.005 DATA-MAPPING-DOCUMENT-VERSION Identifies the version of the T-MSIS data mapping document used to build a state submission file. Use the version number specified on the title page of the data mapping document N/A
ELG006 ELG.001.006 FILE-NAME A code to identify the subject area to which the records in its file relate. Each T-MSIS submission file should only contain records for one subject area (i.e., Eligible, Third-party liability, Provider, Managed Care Plan Information, Inpatient, Long-Term Care, Other, and Pharmacy Claim). ELG006 Values
ELG007 ELG.001.007 SUBMITTING-STATE A code that uniquely identifies the U.S. State or Territory from which T-MSIS system data resources were received. ELG007 Values
ELG008 ELG.001.008 DATE-FILE-CREATED

The date on which the file was created.

N/A
ELG009 ELG.001.009 START-OF-TIME-PERIOD

This value must be the first day of the reporting month, regardless of the actual date span of the data in the file.

N/A
ELG010 ELG.001.010 END-OF-TIME-PERIOD

This value must be the last day of the reporting month, regardless of the actual date span.

N/A
ELG011 ELG.001.011 FILE-STATUS-INDICATOR A code to indicate whether the records in the file are test or production records. ELG011 Values
ELG012 ELG.001.012 SSN-INDICATOR Indicates whether the state uses the eligible person's social security number instead of an MSIS Identification Number as the unique, unchanging eligible person identifier. A state's SSN/Non-SSN designation on the eligibility file should match on the claims and third party liability files. ELG012 Values
ELG013 ELG.001.013 TOT-REC-CNT A count of all records in the file except for the file header record. This count will be used as a control total to help assure that the file did not become corrupted during transmission. N/A
ELG014 ELG.001.014 STATE-NOTATION

A free text field for the submitting state to enter whatever information it chooses.

N/A
ELG247 ELG.001.247 SEQUENCE-NUMBER To enable states to sequentially number files, when related, follow-on files are necessary (i.e. update files, replace files). This should begin with 1 for the original Create submission type and be incremented by one for each Replacement or Update submission for the same reporting period and file type (subject area). N/A
Definition
A record containing metadata necessary to identify the file itself, when it was created and the number of records it contains.

File Segment Length
1000