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TMSIS Dataguide Medicaid.gov
Version 3.28.0

LOCK-IN-INFORMATION

File Segment

File Segment Number

ELG00009

File Name

ELG - ELIGIBLE

Last updated

No Updates

Data Elements Reference
DE Number System DE Number Data Element Definition Valid Values
ELG136 ELG.009.136 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.). ELG136 Values
ELG137 ELG.009.137 SUBMITTING-STATE A code that uniquely identifies the U.S. State or Territory from which T-MSIS system data resources were received. ELG137 Values
ELG138 ELG.009.138 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
ELG139 ELG.009.139 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
ELG140 ELG.009.140 LOCKIN-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
ELG141 ELG.009.141 LOCKIN-PROV-TYPE A code describing the provider type classification for which the provider/beneficiary lock-in relationship exists. N/A
ELG142 ELG.009.142 LOCKIN-EFF-DATE The first calendar day on which all of the other data elements in the same segment were effective. N/A
ELG143 ELG.009.143 LOCKIN-END-DATE The last calendar day on which all of the other data elements in the same segment were effective. N/A
ELG144 ELG.009.144 STATE-NOTATION

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

 N/A
ELG270 ELG.009.270 LOCKED-IN-SRVCS

The type(s) of services that are locked-in.

 ELG270 Values
Definition
A record to capture the provider, or providers, to whom the eligible person is restricted, as well as the time periods during which the lock-in provisions are in force.

File Segment Length
1000