Provider Affiliated Program Identifier

SAS Name
PRVDR_AFLTD_PGM_ID

A field to identify the Medicaid/CHIP programs, waivers and demonstrations in which the provider participates.

Comments

The specific type of affiliated program is shown in the corresponding value in the AFLTD_PGM_TYPE_CD data element. When AFLTD_PGM_TYPE_CD is “4” (Health Home Entity), the Affiliated Program ID should contain the health home entity name.

Values: Alphanumeric character string (e.g., 00000000089, RAD)

Source: T-MSIS Annual Provider TAF