Submitting State Provider Identification Number

SAS Name
SUBMTG_STATE_PRVDR_ID

The state-assigned unique identifier for the provider entity. Note that all individuals, practice groups, facilities, and other entities that provide Medicaid/CHIP goods or services to the state’s Medicaid/CHIP enrollees should be reflected in the T-MSIS provider data set (i.e. in the APR Base file).

Comments

The CCW_APR_LINK_KEY identifies each unique combination of submitting state entity code (SUBMTG_STATE_CD) and state-specific provider identifier (SUBMTG_STATE_PRVDR_ID).

Values: Numeric string (e.g., 0000000001, 00000000000036).

Source: T-MSIS Annual Provider TAF