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TMSIS Dataguide Medicaid.gov
Version 3.36.0

HEALTH-HOME-SPA-PROVIDERS

File Segment

File Segment Number

ELG00007

File Name

ELG - ELIGIBLE

Last updated

No Updates

Data Elements Reference
DE Number System DE Number Data Element Definition Valid Values
ELG114 ELG.007.114 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.). ELG114 Values
ELG115 ELG.007.115 SUBMITTING-STATE A code that uniquely identifies the U.S. State or Territory from which T-MSIS system data resources were received. ELG115 Values
ELG116 ELG.007.116 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
ELG117 ELG.007.117 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
ELG118 ELG.007.118 HEALTH-HOME-SPA-NAME A free-form text field for the name of the health home program approved by CMS. This name needs to be consistent across files to be used for linking. N/A
ELG119 ELG.007.119 HEALTH-HOME-ENTITY-NAME A field to identify the health home SPA in which an individual is enrolled. Because an identification numbering schema has not been established, the entities' names are being used instead. N/A
ELG120 ELG.007.120 HEALTH-HOME-PROV-NUM The State-specific Medicaid Provider Identifier is a state-assigned unique identifier that states should report with all individual providers, practice groups, facilities, and other entities. This should be the identifier that is used in the state's Medicaid Management Information System. N/A
ELG121 ELG.007.121 HEALTH-HOME-SPA-PROVIDER-EFF-DATE The first calendar day on which all of the other data elements in the same segment were effective. N/A
ELG122 ELG.007.122 HEALTH-HOME-SPA-PROVIDER-END-DATE The last calendar day on which all of the other data elements in the same segment were effective. N/A
ELG123 ELG.007.123 HEALTH-HOME-ENTITY-EFF-DATE The date on which the health home entity was approved by CMS to participate in the Health Home Program. N/A
ELG124 ELG.007.124 STATE-NOTATION A free text field for the submitting state to enter whatever information it chooses. N/A
Definition
A record to capture the identity of the health home entity in which the eligible person is enrolled, as well as the identity of the provider with primary responsibility for coordinating the delivery of health home services.

File Segment Length
1000