| 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
|
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