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A flag to indicate the provider’s Medicaid and/or CHIP enrollment information was active in the given month. Each of 12 months.
A flag to indicate the provider’s Medicaid and/or CHIP enrollment information was active in the given month. Each of 12 months.
A flag to indicate the provider’s Medicaid and/or CHIP enrollment information was active in the given month. Each of 12 months.
Groups the Provider Medicaid CHIP Enrollment Status Code (PRVDR_ENRLMT_STUS_CDCD) into aggregated categories.
A code representing the provider’s Medicaid and/or CHIP enrollment status for the time span specified by the PRVDR_ENRLMT START_DT and PRVDR_ENRLMT_END_DT data elements.
A code to identify whether the SUBMTG_STATE_PRVDR_ID is assigned to an individual, a group of providers, or a facility; most recent in the calendar year.
The type of facility for the servicing provider using the HIPAA provider taxonomy codes.
Indicator representing the iteration of the file.
The first name of the provider when the provider is a person.
This variable is the extended CMS Certification Number (CCN).
This extended field is designed to allow for the identification of multiple campus hospitals. For multicampus hospitals, all campuses contain the same first 6-digit CCN (reference PRVDR_BASE_FAC_NUM variable in this data file), but positions 7–13 may be used to distinguish between campuses (ex. 01, 02, 001, 002, A, etc.) In the future positions 7–13 may have other uses.
A flag to indicate the provider’s affiliated group specified in the PRVDR_GRP_ID variable was active in the given month. Each of 12 months.
A flag to indicate the provider’s affiliated group specified in the PRVDR_GRP_ID variable was active in the given month. Each of 12 months.
A flag to indicate the provider’s affiliated group specified in the PRVDR_GRP_ID variable was active in the given month. Each of 12 months.
A flag to indicate the provider’s affiliated group specified in the PRVDR_GRP_ID variable was active in the given month. Each of 12 months.
A flag to indicate the provider’s affiliated group specified in the PRVDR_GRP_ID variable was active in the given month. Each of 12 months.
A flag to indicate the provider’s affiliated group specified in the PRVDR_GRP_ID variable was active in the given month. Each of 12 months.
A flag to indicate the provider’s affiliated group specified in the PRVDR_GRP_ID variable was active in the given month. Each of 12 months.
A flag to indicate the provider’s affiliated group specified in the PRVDR_GRP_ID variable was active in the given month. Each of 12 months.
A flag to indicate the provider’s affiliated group specified in the PRVDR_GRP_ID variable was active in the given month. Each of 12 months.
A flag to indicate the provider’s affiliated group specified in the PRVDR_GRP_ID variable was active in the given month. Each of 12 months.
A flag to indicate the provider’s affiliated group specified in the PRVDR_GRP_ID variable was active in the given month. Each of 12 months.
A flag to indicate the provider’s affiliated group specified in the PRVDR_GRP_ID variable was active in the given month. Each of 12 months.
This field is used as a key to uniquely identify a provider in the CSP_PRVDR table.
The last name of the provider when the provider is a person.
The name as it appears on the provider agreement between the state and the entity. Both persons and other entities can have a legal name, most recent in the calendar year.
A flag to indicate the provider’s licensing/accreditation information was active in the given month. Each of 12 months.
A flag to indicate the provider’s licensing/accreditation information was active in the given month. Each of 12 months.
A flag to indicate the provider’s licensing/accreditation information was active in the given month. Each of 12 months.
A flag to indicate the provider’s licensing/accreditation information was active in the given month. Each of 12 months.
A flag to indicate the provider’s licensing/accreditation information was active in the given month. Each of 12 months.
A flag to indicate the provider’s licensing/accreditation information was active in the given month. Each of 12 months.
A flag to indicate the provider’s licensing/accreditation information was active in the given month. Each of 12 months.
A flag to indicate the provider’s licensing/accreditation information was active in the given month. Each of 12 months.
A flag to indicate the provider’s licensing/accreditation information was active in the given month. Each of 12 months.
A flag to indicate the provider’s licensing/accreditation information was active in the given month. Each of 12 months.
A flag to indicate the provider’s licensing/accreditation information was active in the given month. Each of 12 months.
A flag to indicate the provider’s licensing/accreditation information was active in the given month. Each of 12 months.
A data element to capture the identity of the agency issuing the license or accreditation number
A data element to capture the license or accreditation number issued to the provider by the licensing entity or accreditation body identified in the LCNS_ISSG_ENT_ID data element.
A code to identify the kind of license or accreditation number that is captured in the LCNS_NUM data element.
A flag to indicate the provider’s location information specified in the unique combination of location variables was active in the given month. Each of 12 months.
A flag to indicate the provider’s location information specified in the unique combination of location variables was active in the given month. Each of 12 months.
A flag to indicate the provider’s location information specified in the unique combination of location variables was active in the given month. Each of 12 months
A flag to indicate the provider’s location information specified in the unique combination of location variables was active in the given month. Each of 12 months.
A flag to indicate the provider’s location information specified in the unique combination of location variables was active in the given month. Each of 12 months.
A flag to indicate the provider’s location information specified in the unique combination of location variables was active in the given month. Each of 12 months.
A flag to indicate the provider’s location information specified in the unique combination of location variables was active in the given month. Each of 12 months.
A flag to indicate the provider’s location information specified in the unique combination of location variables was active in the given month. Each of 12 months.
A flag to indicate the provider’s location information specified in the unique combination of location variables was active in the given month. Each of 12 months.
A flag to indicate the provider’s location information specified in the unique combination of location variables was active in the given month. Each of 12 months.