ELG.005.091

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TMSIS Dataguide

Medicaid.gov

Version 3.38.0

SSI-STATE-SUPPLEMENT-STATUS-CODE

Data Element

DE Number

ELG091

System DE Number

ELG.005.091

File Name

File Segment Number

File Segment Name

ELIGIBILITY-DETERMINANTS

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	Indicates the individual's State Supplemental Income Status.
Size	X(3)
FLF Start Position	66
FLF Stop Position	68
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be in SSI State Supplement Status Code List (VVL) 2. Value must be 3 characters 3. (individual not receiving Federal SSI) If value is "001" or "002", then SSI Status (ELG.005.092) must be "001" or "002" 4. (Individual not receiving Federal SSI)If value is "001" or "002", then SSI Indicator (ELG.005.090) must be "1" 5. Value must not be populated or must be "000" when SSI Status (ELG.005.092) is not populated or is "000"

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date

RULE ID	RULE Definition
RULE-2140	If the SSI state supplement status code is populated on a eligibility determinants file, then the SSI state supplement status code reported must be found in the list of valid values.
RULE-2141	If the eligibility determinants segment has a SSI status that is not populated, then the SSI state supplement status code is not populated.
RULE-6902	If a segment is an eligibility determinants segment from an ELG file, the SSI state supplement status code value reported must be compatible with the specified T-MSIS picture format: X(3).

Measure ID	Measure Name
MIS-1-035-35	% distinct MSIS IDs with only missing values in any active segment: SSI-STATE-SUPPLEMENT-STATUS-CODE (ELG00005)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/12/2024	3.29.0	ELG.005.091	UPDATE	Coding requirement	1. Value must be in SSI State Supplement Status Code List (VVL)2. Value must be 3 characters3. (individual not receiving Federal SSI)If value is "001" or "002", then SSI Status (ELG.005.092) must be "001" or "002"4. (Individual not receiving Federal SSI)If value is "001" or "002", then SSI Indicator (ELG.005.090) must be "1"5. Value must not be populated or must be "000" when SSI Status (ELG.005.092) is not populated or is "000"	1. Value must be in SSI State Supplement Status Code List (VVL)2. Value must be 3 characters3. (individual not receiving Federal SSI) If value is "001" or "002", then SSI Status (ELG.005.092) must be "001" or "002"4. (Individual not receiving Federal SSI)If value is "001" or "002", then SSI Indicator (ELG.005.090) must be "1"5. Value must not be populated or must be "000" when SSI Status (ELG.005.092) is not populated or is "000"
09/21/2023	3.13.0	ELG.005.091	UPDATE	Coding requirement	1. Value must be in SSI State Supplement Status Code List (VVL)2. Value must be 3 characters3. (individual not receiving Federal SSI)If value is "001" or "002", then SSI Status (ELG.005.092) must be "001" or "002"4. (Individual not receiving Federal SSI)If value is "001" or "002", then SSI Indicator (ELG.005.090) must be '1'5. Value must not be populated or must be '000' when SSI Status (ELG.005.092) is not populated or is '000'	1. Value must be in SSI State Supplement Status Code List (VVL)2. Value must be 3 characters3. (individual not receiving Federal SSI)If value is "001" or "002", then SSI Status (ELG.005.092) must be "001" or "002"4. (Individual not receiving Federal SSI)If value is "001" or "002", then SSI Indicator (ELG.005.090) must be "1"5. Value must not be populated or must be "000" when SSI Status (ELG.005.092) is not populated or is "000"
06/24/2022	3.0.0	SSI-STATE-SUPPLEMENT-STATUS-CODE	UPDATE	Data Dictionary	DE NO\|DATA ELEMENT NAME\| DEFINITION\|CODING REQUIREMENT\| ELG091\|SSI-STATE-SUPPLEMENT-STATUS-CODE\|Indicates the individual's State Supplemental Income Status.\| 1.(LV) value must be in SSI State Supplement Status Code List (VVL) 2.(FD1) (individual not receiving Federal SSI) If SSI State Supplemental Status Code is "001" or "002", then SSI Status cannot be "000" or "003" 3.(S) value must be 3 characters 4.(N) conditional 5.(FD1) value must not be populated when SSI Status is not populated	DE NO\|DATA ELEMENT NAME\| DEFINITION\|CODING REQUIREMENT\| ELG091\|SSI-STATE-SUPPLEMENT-STATUS-CODE\|Indicates the individual's State Supplemental Income Status.\| 1.(LV) value must be in SSI State Supplement Status Code List (VVL) 2.(S) value must be 3 characters 3.(FD1) (individual not receiving Federal SSI)If value is "001" or "002", then SSI Status (ELG.005.092) must be "001" or "002" 4.(FD1) (Individual not receiving Federal SSI)If value is "001" or "002", then SSI Indicator (ELG.005.090) must be '1' 5.(FD1) value must not be populated or must be '000' when SSI Status (ELG.005.092) is not populated or is '000'