ELG.003.042

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TMSIS Dataguide

Medicaid.gov

Version:

IMMIGRATION-STATUS

Data Element

DE Number

ELG042

System DE Number

ELG.003.042

File Name

File Segment Number

File Segment Name

VARIABLE-DEMOGRAPHICS-ELIGIBILITY

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The immigration status of the individual.
Size	X(1)
FLF Start Position	109
FLF Stop Position	109
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 1 character 2. Value must be in Immigration Status List (VVL) 3. If associated Citizenship Indicator (ELG.003.040) value equals "0", then value must be in [1,2,3] 4. If associated Citizenship Indicator (ELG.003.040) value equals "1", then value must equal "8" 5. Mandatory 6. When value is in [1,2], then value must match a corresponding record with an ELG-IDENTIFIER-TYPE (ELG.022.261) equal to “3”

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

RULE ID	RULE Definition
RULE-2050	If the immigration status is populated on a variable demographics eligibility file, then the immigration status reported must be found in the list of valid values.
RULE-2051	If the MSIS id is populated on a variable demographics eligibility segment from an ELG file, and the citizenship indicator is equal to '1' or '2', then the immigration status is equal to '8'.
RULE-6546	If a segment is a variable demographics eligibility segment from an ELG file, then the immigration status value reported must be compatible with the specified T-MSIS picture format: X(1).
RULE-7381	If msis ID is populated on a variable demographics eligibility file, then the immigration status value must be populated.
RULE-7529	If restricted benefits code is for restricted benefits based on noncitizen status on an eligibility determinants segment from an ELG file, and eligibility determinants has a primary eligibility group indicator equal to '1' then the effective date and end date on the eligibility determinants segment must fall within the effective and end dates of one or more continuous variable demographics eligibility segments and the immigration status must be for a noncitizen on the variable demographics eligibility segment.

Measure ID	Measure Name
EL-1-015-14	% of MSIS IDs with a valid immigration status whose enrollment in Medicaid is pending immigration verification
EL-2-001-1	Immigration Status values
MIS-1-010-10	% distinct MSIS IDs with only missing values in any active segment: IMMIGRATION-STATUS (ELG00003)
EL-1-015_1-25	% of MSIS IDs with an IMMIGRATION-STATUS = 8 (U.S. Citizen) but CITIZENSHIP-IND does not equal 1
EL-1-015_2-26	% of MSIS IDs with CITIZENSHIP-IND = 1 but IMMIGRATION-STATUS does not equal 8 (U.S. Citizen)
EL-6-033-33	% of MSIS IDs with an alien restricted benefits code status (RESTRICTED-BENEFITS-CODE = 2) but a non-qualified alien immigration status (IMMIGRATION-STATUS not 1, 2, or 3)
EL-6-037-37	% of MSIS IDs with an IMMIGRATION-STATUS = 3 (Eligible only for payment for emergency services) but RESTRICTED-BENEFITS-CODE does not equal 2 or 4
EL-6-038-38	% of MSIS IDs with an IMMIGRATION-STATUS = 3 (Eligible only for payment for emergency services)
RULE-2051	% of record segments with CITIZENSHIP-IND = 1 or 2 (U.S. Citizen or U.S. National) but IMMIGRATION-STATUS does not equal 8 (Not applicable)
RULE-7529	% of record segments with an alien restricted benefits code status (RESTRICTED-BENEFITS-CODE = 2) but a non-qualified alien immigration status (IMMIGRATION-STATUS not 1, 2, or 3)
RULE-7528	% of record segments with an IMMIGRATION-STATUS = 8 (Not applicable) but CITIZENSHIP-IND does not equal 1 or 2 (U.S. Citizen or U.S. National)
RULE-7381	% of record segments with missing Immigration Status

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

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
11/20/2025	4.0.22	ELG.003.042	UPDATE	Coding requirement	1. Value must be 1 character2. Value must be in Immigration Status List (VVL)3. If associated Citizenship Indicator (ELG.003.040) value equals "0", then value must be in [1,2,3]4. If associated Citizenship Indicator (ELG.003.040) value equals "1", then value must equal "8"5. Mandatory	1. Value must be 1 character2. Value must be in Immigration Status List (VVL)3. If associated Citizenship Indicator (ELG.003.040) value equals "0", then value must be in [1,2,3]4. If associated Citizenship Indicator (ELG.003.040) value equals "1", then value must equal "8"5. Mandatory6. When value is in [1,2], then value must match a corresponding record with an ELG-IDENTIFIER-TYPE (ELG.022.261) equal to “3”
09/16/2024	4.0.0	ELG.003.042	UPDATE	File segment	None	46
09/16/2024	4.0.0	ELG.003.042	ADD	N/A		Created