Pathways EB Eligibility Void File to EB and Roeing.xlsx

This is an Interface Specification Document for the Pathways Eligibility Void File to EB and Roeing, a data exchange interface managed by the Indiana Title XIX Medicaid program (EDS - Indiana, located at 950 N. Meridian St., Suite 1150, Indianapolis, IN 46204). The interface specification defines the technical requirements for transmitting voided eligibility data for fully eligible Pathways members from the Medicaid Management Information System (MMIS) to the EB and Roeing systems. The file is transmitted Monday through Friday via secure FTP with the filename format PEBEligibilityVoidyyyymmdd.nnnn. The specification document was initially created on March 30, 2023, with subsequent revisions on April 28, 2023, May 18, 2023, and March 6, 2026, documenting additions such as Medicare Plan C effective and end dates and the creation of a voided file record type.

The interface specification contains detailed technical layout requirements for data record transmission, encompassing 3,196 character positions per record with mandatory fields including Medicaid ID, Medicare ID, Part C plan information, special needs indicators, urgent coverage details, current and future managed care enrollment data, aid category information, and up to six authorized representative records with complete contact and address information. The specification includes field-level definitions with precise starting and ending positions, data formats (character, date, and number fields), and null/not-null requirements for each element. Supporting reference tables define aid category codes, including aged, blind, disabled, working disabled under MEDWORKS, parent/caretaker, and SSI-related categories, as well as waiver program categories under the 1115 Medicaid Expedited Eligibility Waiver program.