Pathways EB Pending File to EB.xlsx

This is an interface specification document for the Pathway Pending File to EB (Eligibility and Benefits) system, managed by the State of Indiana's Medicaid Management Information System (MMIS) and the Eligibility and Benefits division. The document provides technical specifications for data exchange of pending Pathways member information between MMIS and the EB system. The file transfer occurs Monday through Friday via Secure FTP using compressed zip file format (PEBPendyyyymmdd.nnnn.zip), with records selected based on pending member data criteria. The interface specification includes detailed layout requirements for 93 data fields organized into detail and trailer records, with field sizes ranging from 1 to 150 characters and total record lengths extending to position 3107. Key data elements include Medicaid and Medicare identifiers, Part C plan information, special needs indicators, application status details, authorized representative information (up to six representatives per record with contact and address details), member type classification, pending aid category codes, pending waiver codes, and pending level of care codes. The specification document has undergone multiple revisions since its initial release on March 30, 2023, with the most recent updates in June 2024 adding ID_AUTH_REP fields and incorporating MLTSS 6G requirements.

The interface specification does not contain pricing terms, set-asides, incumbent contractor information, or funding requirements, as it is a technical documentation file establishing data transmission standards rather than a procurement solicitation. Member type classifications include "NP" for new pending records and "EM" for updated pending records. All detail record fields are designated as required and nullable unless otherwise specified, with Medicaid ID being designated as never null. The document specifies that records must include newline characters at designated positions and maintain specific spacing and formatting standards to ensure proper system integration between MMIS and the EB system.