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File Segment
ELG00012
No Updates
DE Number | System DE Number | Data Element | Definition | Valid Values |
---|---|---|---|---|
ELG168 | ELG.012.168 | 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.). | ELG168 Values |
ELG169 | ELG.012.169 | SUBMITTING-STATE | A code that uniquely identifies the U.S. State or Territory from which T-MSIS system data resources were received. | ELG169 Values |
ELG170 | ELG.012.170 | 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 |
ELG171 | ELG.012.171 | 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 |
ELG172 | ELG.012.172 | WAIVER-ID | Field specifying the waiver or demonstration which authorized payment for a claim. These IDs must be the approved, full federal waiver ID number assigned during the state submission and CMS approval process. Waiver IDs should actually only be the "core" part of the waiver IDs, without including suffixes for renewals or amendments. |
N/A |
ELG173 | ELG.012.173 | WAIVER-TYPE | Code for specifying waiver types under which the eligible individual is covered during the month. | ELG173 Values |
ELG174 | ELG.012.174 | WAIVER-ENROLLMENT-EFF-DATE | The first calendar day on which all of the other data elements in the same segment were effective. | N/A |
ELG175 | ELG.012.175 | WAIVER-ENROLLMENT-END-DATE | The last calendar day on which all of the other data elements in the same segment were effective. | N/A |
ELG176 | ELG.012.176 | STATE-NOTATION | A free text field for the submitting state to enter whatever information it chooses. |
N/A |