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TMSIS Dataguide Medicaid.gov
Version 3.29.0

LTSS-PARTICIPATION

File Segment

File Segment Number

ELG00013

File Name

ELG - ELIGIBLE

Last updated

No Updates

Data Elements Reference
DE Number System DE Number Data Element Definition Valid Values
ELG178 ELG.013.178 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.). ELG178 Values
ELG179 ELG.013.179 SUBMITTING-STATE A code that uniquely identifies the U.S. State or Territory from which T-MSIS system data resources were received. ELG179 Values
ELG180 ELG.013.180 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
ELG181 ELG.013.181 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
ELG182 ELG.013.182 LTSS-LEVEL-CARE The level of care provided to the individual by the long term care facility. ELG182 Values
ELG183 ELG.013.183 LTSS-PROV-NUM A unique identification number assigned by the state to the long term care facility furnishing healthcare services to the individual. N/A
ELG184 ELG.013.184 LTSS-ELIGIBILITY-EFF-DATE The first calendar day on which all of the other data elements in the same segment were effective. N/A
ELG185 ELG.013.185 LTSS-ELIGIBILITY-END-DATE The last calendar day on which all of the other data elements in the same segment were effective. N/A
ELG186 ELG.013.186 STATE-NOTATION A free text field for the submitting state to enter whatever information it chooses. N/A
Definition
A record to capture the level of care an eligible person receives at various points in time while in a long-term care facility.

File Segment Length
1000