ELG.003.042

IMMIGRATION-STATUS

Data Element

DE Number

ELG042

System DE Number

ELG.003.042

File Name

ELG - ELIGIBLE

File Segment Number

ELG00003

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 [2,3,4] 4. If associated Citizenship Indicator (ELG.003.040) value equals "1" or "2", then value must equal "8" 5. Mandatory

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' and the eligibility determinants end date is greater than or equal to the T-MSIS cutover date, 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 eligible only for payment for emergency services on the variable demographics eligibility segment.
RULE-9550	If a variable demographics eligibility segment has a citizenship indicator equal to '0', then the segment has a value equal to '2', '3', or '4' for immigration status.

Measure ID	Measure Name
RULE-7381	% of record segments with missing Immigration Status
RULE-9546	% of MSIS IDs with Age > 1 with IMMIGRATION-STATUS = 4 (Eligible Non-citizen) where SSN missing
RULE-9545	% of MSIS IDs with IMMIGRATION-STATUS = 8 (U.S. Citizen) where SSN is missing
RULE-9550	% of record segments with CITIZENSHIP-IND = 0 (Noncitizen) with an immigration status indicating U.S citizenship (not IMMIGRATION-STATUS = 2, 3, or 4)
RULE-2050	% of record segment with an invalid Immigration Status
RULE-2048	% of record segments with non-citizen immigration status (IMMIGRATION-STATUS = 2, 3, or 4) but a U.S. Citizen or U.S. National citizenship status (CITIZENSHIP-IND not 0)
EL-6-053-53	% of MSIS IDs in a state that has a SPA or waiver for CHIPRA 214 coverage and have IMMIGRATION-STATUS = 2 (CHIPRA 214)
EL-6-052-52	% of MSIS IDs in a state that does not have a SPA or waiver for CHIPRA 214 coverage but have IMMIGRATION-STATUS = 2 (CHIPRA 214)
EL-6-051-51	% of MSIS IDs with IMMIGRATION-STATUS = 2 (CHIPRA 214) who are not in the state’s CHIPRA 214 target population (e.g., children and/or pregnant women)
EL-6-050-50	% of MSIS IDs with IMMIGRATION-STATUS = 3 enrolled in a risk-based managed care plan
EL-6-049-49	% of MSIS IDs Age > 1 with IMMIGRATION-STATUS = 3 where SSN is missing
EL-6-048-48	% of MSIS IDs Age > 1 with IMMIGRATION-STATUS = 2 where SSN is missing
EL-1-015-14	% of MSIS IDs with a valid immigration status whose enrollment in Medicaid is pending immigration verification
RULE-7528	% of record segments with an IMMIGRATION-STATUS = 8 (U.S. Citizen or U.S. National) but CITIZENSHIP-IND does not equal 1 or 2 (U.S. Citizen or U.S. National)
RULE-7529	% of record segments with an alien noncitizen restricted benefits code status (RESTRICTED-BENEFITS-CODE = 2) but IMMIGRATION-STATUS does not equal 3 (Eligible for payment for emergency services only)
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 (U.S. Citizen or U.S. National)
EL-6-038-38	% of MSIS IDs with an IMMIGRATION-STATUS = 3 (Eligible for payment for emergency services only)
EL-6-037-37	% of MSIS IDs with an IMMIGRATION-STATUS = 3 (Eligible for payment for emergency services only) but RESTRICTED-BENEFITS-CODE does not equal 2 or 4
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, 3, or 4)
EL-1-015_2-26	% of MSIS IDs with CITIZENSHIP-IND = 1 but IMMIGRATION-STATUS does not equal 8 (U.S. Citizen)
EL-1-015_1-25	% of MSIS IDs with an IMMIGRATION-STATUS = 8 (U.S. Citizen) but CITIZENSHIP-IND does not equal 1
MIS-1-010-10	% distinct MSIS IDs with only missing values in any active segment: IMMIGRATION-STATUS (ELG00003)
EL-2-001-1	Immigration Status values

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

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
10/08/2026	4.0.38	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. 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”	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 [2,3,4]4. If associated Citizenship Indicator (ELG.003.040) value equals "1" or "2", then value must equal "8"5. Mandatory
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
10/09/2026	4.0.38	IMMIGRATION-STATUS (ELG.003.042)	Update	Data Dictionary - Valid Values	VALUE_SET_ID\|EFFECTIVE_DATE\|END_DATE\|VALUE\|NAME\|DESCRIPTION IMMIGRATION-STATUS\|00010101\|99991231\|1\|Qualified alien	VALUE_SET_ID\|EFFECTIVE_DATE\|END_DATE\|VALUE\|NAME\|DESCRIPTION IMMIGRATION-STATUS\|00010101\|20260930\|1\|Qualified alien\|Noncitizen beneficiaries who are qualified noncitizens. Not an applicable immigration status after 9/30/2026.
10/09/2026	4.0.38	IMMIGRATION-STATUS (ELG.003.042)	Update	Data Dictionary - Valid Values	VALUE_SET_ID\|EFFECTIVE_DATE\|END_DATE\|VALUE\|NAME\|DESCRIPTION IMMIGRATION-STATUS\|00010101\|99991231\|2\|Lawfully present under CHIPRA 214	VALUE_SET_ID\|EFFECTIVE_DATE\|END_DATE\|VALUE\|NAME\|DESCRIPTION IMMIGRATION-STATUS\|00010101\|99991231\|2\|Lawfully present under CHIPRA 214\|Lawfully present women or children in states that elect to cover under CHIPRA 214.
10/09/2026	4.0.38	IMMIGRATION-STATUS (ELG.003.042)	Update	Data Dictionary - Valid Values	VALUE_SET_ID\|EFFECTIVE_DATE\|END_DATE\|VALUE\|NAME\|DESCRIPTION IMMIGRATION-STATUS\|00010101\|99991231\|3\|Eligible only for payment for emergency services\|aliens who are either not qualified for Medicaid or who are currently subject to a five year bar.	VALUE_SET_ID\|EFFECTIVE_DATE\|END_DATE\|VALUE\|NAME\|DESCRIPTION IMMIGRATION-STATUS\|00010101\|99991231\|3\|Eligible for payment for emergency Medicaid services only\|Noncitizen who is not FFP-eligible, not eligible under CHIPRA 214, or who is currently subject to a five-year waiting period, seven-year limit or 40 quarters requirements in Medicaid only.
10/09/2026	4.0.38	IMMIGRATION-STATUS (ELG.003.042)	Add	Data Dictionary - Valid Values	N/A	VALUE_SET_ID\|EFFECTIVE_DATE\|END_DATE\|VALUE\|NAME\|DESCRIPTION IMMIGRATION-STATUS\|20261001\|99991231\|4\|Eligible noncitizen\|FFP-eligible noncitizen: Lawful Permanent Resident, Cuban/Haitian entrant, or Compact of Free Association (COFA) Migrant. Use on or after 10/1/2026.
10/09/2026	4.0.38	IMMIGRATION-STATUS (ELG.003.042)	Update	Data Dictionary - Valid Values	VALUE_SET_ID\|EFFECTIVE_DATE\|END_DATE\|VALUE\|NAME\|DESCRIPTION IMMIGRATION-STATUS\|00010101\|99991231\|8\|Not Applicable (U.S. citizen or U.S. national)	VALUE_SET_ID\|EFFECTIVE_DATE\|END_DATE\|VALUE\|NAME\|DESCRIPTION IMMIGRATION-STATUS\|00010101\|99991231\|8\|U.S. citizen or U.S. national