RULE-7529

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Measure Name	% 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)
File Type	ELG
Measure ID	RULE-7529
Measure Type	Non-Claims Percentage
Content area	ELG

Validation Type	Inferential

Measure Priority	High
Focus Area	Wftcl - alien eligibility
Category	Beneficiary demographics

Claim Type	N/A
Adjustment Type	N/A
Crossover Type	N/A

Minimum	0
Maximum	0.0001
TA Minimun	0
TA Maximum	0.0001
Longitudinal Threshold	N/A
For TA (for including in compliance training)	TA - Inferential
For TA (Longitudinal)	No

DD Data Element	RESTRICTED-BENEFITS-CODE • IMMIGRATION-STATUS • MSIS-IDENTIFICATION-NUM
DD Data Element Number	ELG097 • ELG042 • ELG082

Annotation	N/A
Specification	RULE-7529

Published Date	Data Guide Version	DQM	Action	Field	Before	After
10/08/2026	4.0.38	RULE-7529	UPDATE	Measure name	% of record segments with noncitizen restricted benefits code status (RESTRICTED-BENEFITS-CODE = 2) but not noncitizen immigration status (IMMIGRATION-STATUS not 1, 2, or 3)	% 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)
10/08/2026	4.0.38	RULE-7529	UPDATE	For ta comprehensive	TA- Inferential	TA - Inferential
10/08/2026	4.0.38	RULE-7529	UPDATE	Ta max	0.01	0.0001
10/08/2026	4.0.38	RULE-7529	UPDATE	Threshold maximum	0.01	0.0001
10/08/2026	4.0.38	RULE-7529	UPDATE	Focus area	N/A	Wftcl - alien eligibility
09/08/2026	4.0.37	RULE-7529	UPDATE	Measure name	% 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)	% of record segments with noncitizen restricted benefits code status (RESTRICTED-BENEFITS-CODE = 2) but not noncitizen immigration status (IMMIGRATION-STATUS not 1, 2, or 3)
10/07/2025	4.0.19	RULE-7529	UPDATE	Grace period expiration date	None	2024-09-29
04/24/2025	4.0.7	RULE-7529	ADD	N/A		Created

RULE-7529

Key Information

Validation

Measure Priority

Claim Information

Thresholds

Data Elements