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TMSIS Dataguide Medicaid.gov
Version 3.27.0

PROV-TAXONOMY-CLASSIFICATION

File Segment

File Segment Number

PRV00006

File Name

PRV - PROVIDER

Last updated

No Updates

Data Elements Reference
DE Number System DE Number Data Element Definition Valid Values
PRV084 PRV.006.084 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.). PRV084 Values
PRV085 PRV.006.085 SUBMITTING-STATE A code that uniquely identifies the U.S. State or Territory from which T-MSIS system data resources were received. PRV085 Values
PRV086 PRV.006.086 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
PRV087 PRV.006.087 SUBMITTING-STATE-PROV-ID 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
PRV088 PRV.006.088 PROV-CLASSIFICATION-TYPE

A code to identify the schema used in the Provider Classification Code field to categorize providers. See T-MSIS Guidance Document, "CMS Guidance: Best Practice for Reporting Provider Classification Type and Provider Classification Code in the T-MSIS Provider File" https://www.medicaid.gov/medicaid/data-and-systems/macbis/tmsis/tmsis-blog/98581 . A provider may be reported with multiple active record segments with the same Provider Classification Type if different Provider Classification Code values apply.

 PRV088 Values
PRV089 PRV.006.089 PROV-CLASSIFICATION-CODE

The code values from the categorization schema identified in the Provider Classification Type data element. Note: States should apply these classification schemas consistently across all providers.

 PRV089 Values
PRV090 PRV.006.090 PROV-TAXONOMY-CLASSIFICATION-EFF-DATE The first calendar day on which all of the other data elements in the same segment were effective. N/A
PRV091 PRV.006.091 PROV-TAXONOMY-CLASSIFICATION-END-DATE The last calendar day on which all of the other data elements in the same segment were effective. N/A
PRV092 PRV.006.092 STATE-NOTATION

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

 N/A
Definition
A record to classify the provider into areas of specialty, as well as the authorized categories of service for which the provider entity has been authorized by the state to render to Medicaid/CHIP eligibles.

File Segment Length
1100