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TMSIS Dataguide Medicaid.gov
Version 3.28.0

PRIMARY-DEMOGRAPHICS-ELIGIBILITY

File Segment

File Segment Number

ELG00002

File Name

ELG - ELIGIBLE

Last updated

No Updates

Data Elements Reference
DE Number System DE Number Data Element Definition Valid Values
ELG016 ELG.002.016 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.). ELG016 Values
ELG017 ELG.002.017 SUBMITTING-STATE A code that uniquely identifies the U.S. State or Territory from which T-MSIS system data resources were received. ELG017 Values
ELG018 ELG.002.018 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
ELG019 ELG.002.019 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
ELG020 ELG.002.020 ELIGIBLE-FIRST-NAME Individual's first name; first name component of full name (e.g. First Name, Middle Initial, Last Name). N/A
ELG021 ELG.002.021 ELIGIBLE-LAST-NAME Individual's last name; last name component of full name (e.g. First Name, Middle Initial, Last Name). N/A
ELG022 ELG.002.022 ELIGIBLE-MIDDLE-INIT Individual's middle initial; middle initial component of full name (e.g. First Name, Middle Initial, Last Name). N/A
ELG023 ELG.002.023 SEX Either individual's biological sex or their self-identified sex. ELG023 Values
ELG024 ELG.002.024 DATE-OF-BIRTH

An individual's date of birth.

 N/A
ELG025 ELG.002.025 DATE-OF-DEATH The date an individual died on. N/A
ELG026 ELG.002.026 PRIMARY-DEMOGRAPHIC-ELEMENT-EFF-DATE The first calendar day on which all of the other data elements in the same segment were effective. N/A
ELG027 ELG.002.027 PRIMARY-DEMOGRAPHIC-ELEMENT-END-DATE The last calendar day on which all of the other data elements in the same segment were effective. N/A
ELG028 ELG.002.028 STATE-NOTATION

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

 N/A
Definition
A record to capture basic demographic information about the individual.

File Segment Length
1000