M0012_MEDICAID_ID
|
Property |
Specification |
|
Data System |
OASIS |
|
Data Spec Version |
1.60 Correction 1 |
|
Record Type |
Submission body record |
|
Description |
Agency Medicaid ID |
|
Item Text |
(M0012) Agency Medicaid Provider Number: |
|
Length |
15 |
|
Start |
130 |
|
End |
144 |
|
Active on RFA |
01,03,04,05,06,07,08,09 |
|
Blank on RFA |
|
|
Picture |
X(15) |
|
Type |
CODE |
|
*Range if Active |
Valid code, sp(15) |
|
Format Info |
Left justified; no embedded dashes or spaces; any letters must be upper case. |
|
Consistency Required |
1. If the HHA has a Medicaid ID, it must be entered in this field. Otherwise enter spaces. |
|
Version Notes |
NOTICE: These materials are in the public domain and cannot be copyrighted.
Generated: 10/30/2007 10:48:40 AM