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TMSIS Dataguide Medicaid.gov
Version 3.36.0

STATE-PLAN-OPTION-PARTICIPATION

File Segment

File Segment Number

ELG00011

File Name

ELG - ELIGIBLE

Last updated

No Updates

Data Elements Reference
DE Number System DE Number Data Element Definition Valid Values
ELG159 ELG.011.159 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.). ELG159 Values
ELG160 ELG.011.160 SUBMITTING-STATE A code that uniquely identifies the U.S. State or Territory from which T-MSIS system data resources were received. ELG160 Values
ELG161 ELG.011.161 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
ELG162 ELG.011.162 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
ELG163 ELG.011.163 STATE-PLAN-OPTION-TYPE This field specifies the State Plan Options in which the individual is enrolled. Use on occurrence for each State Plan Option enrollment. ELG163 Values
ELG164 ELG.011.164 STATE-PLAN-OPTION-EFF-DATE The first calendar day on which all of the other data elements in the same segment were effective. N/A
ELG165 ELG.011.165 STATE-PLAN-OPTION-END-DATE The last calendar day on which all of the other data elements in the same segment were effective. N/A
ELG166 ELG.011.166 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 State Plan Options in which an eligible person is enrolled.

File Segment Length
1000