ELG.003.269

Definition	This data element provides the beneficiary's or their household's income as a percentage of the federal poverty level. Used to assign the beneficiary to the eligibility group that covered their Medicaid or CHIP benefits. If the beneficiary's income was assessed using multiple methodologies (MAGI and Non-MAGI), report the income that applies to their primary eligibility group. A beneficiary’s income is applicable unless it is not required by the eligibility group for which they were determined eligible. For example, the eligibility groups for children with adoption assistance, foster care, or guardianship care under title IV-E and optional eligibility for individuals needing treatment for breast or cervical cancer do not have a Medicaid income test. Additionally, for individuals receiving SSI, states with section 1634 agreements with the Social Security Administration (SSA) and states that use SSI financial methodologies for Medicaid determinations do not conduct separate Medicaid financial eligibility for this group.
Size	9(3)
FLF Start Position	667
FLF Stop Position	669
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be between 0 and 400 inclusively 2. Conditional

RULE ID	RULE Definition
RULE-7591	If a segment is a VARIABLE-DEMOGRAPHICS-ELIGIBILITY segment from an ELG file, then the record number value reported must be compatible with the specified T-MSIS picture format: 9(3).

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
07/14/2023	3.10.0	ELG.003.269	UPDATE	Definition	This data element provides the beneficiary's or their household's income as a percentage of the federal poverty level. Used to assign the beneficiary to the eligibility group that covered their Medicaid or CHIP benefits. If the beneficiary's income was assessed using multiple methodologies (MAGI and Non-MAGI), report the one that applies to their primary eligibility group.	This data element provides the beneficiary's or their household's income as a percentage of the federal poverty level. Used to assign the beneficiary to the eligibility group that covered their Medicaid or CHIP benefits. If the beneficiary's income was assessed using multiple methodologies (MAGI and Non-MAGI), report the income that applies to their primary eligibility group.A beneficiary’s income is applicable unless it is not required by the eligibility group for which they were determined eligible. For example, the eligibility groups for children with adoption assistance, foster care, or guardianship care under title IV-E and optional eligibility for individuals needing treatment for breast or cervical cancer do not have a Medicaid income test. Additionally, for individuals receiving SSI, states with section 1634 agreements with the Social Security Administration (SSA) and states that use SSI financial methodologies for Medicaid determinations do not conduct separate Medicaid financial eligibility for this group.
07/14/2023	3.10.0	ELG269	UPDATE	Data Dictionary	DE No\|DE Name\|Definition\| ELG269\|ELIGIBLE-FEDERAL-POVERTY-LEVEL-PERCENTAGE\|This data element provides the beneficiary's or their household's income as a percentage of the federal poverty level. Used to assign the beneficiary to the eligibility group that covered their Medicaid or CHIP benefits. If the beneficiary's income was assessed usingmultiple methodologies (MAGI and Non-MAGI), report the one that applies to their primary eligibility group.	DE No\|DE Name\|Definition\| ELG269\|ELIGIBLE-FEDERAL-POVERTY-LEVEL-PERCENTAGE\|This data element provides the beneficiary's or their household's income as a percentage of the federal poverty level. Used to assign the beneficiary to the eligibility group that covered their Medicaid or CHIP benefits. If the beneficiary's income was assessed using multiple methodologies (MAGI and Non-MAGI), report the income that applies to their primary eligibility group. A beneficiary’s income is applicable unless it is not required by the eligibility group for which they were determined eligible. For example, the eligibility groups for children with adoption assistance, foster care, or guardianship care under title IV-E and optional eligibility for individuals needing treatment for breast or cervical cancer do not have a Medicaid income test. Additionally, for individuals receiving SSI, states with section 1634 agreements with the Social Security Administration (SSA) and states that use SSI financial methodologies for Medicaid determinations do not conduct separate Medicaid financial eligibility for this group.
06/24/2022	3.0.0	ELG269/ ELIGIBLE-FEDERAL-POVERTY-LEVEL-PERCENTAGE	ADD DE	Data Dictionary - Record Layout	N/A	DE_NO\|DATA_ELEMENT_NAME\|SIZE\|FILE NAME\|FILE SEGMENT ELG269\|ELIGIBLE-FEDERAL-POVERTY-LEVEL-PERCENTAGE\|9(3)\|ELIGIBLE\|VARIABLE-DEMOGRAPHICS-ELIGIBILITY-ELG00003
06/24/2022	3.0.0	ELG269	ADD	Data Dictionary	N/A	\|DE NO\| DATA ELEMENT NAME\|NECESSITY \|DEFINITION\|CODING REQUIREMENT\|FILENAME\| FILE SEGMENT NAME ELG269\|ELIGIBLE-FEDERAL-POVERTY-LEVEL-PERCENTAGE \|Conditional\|The beneficiary's or their household's income as a percentage of the federal poverty level. Used to assign the beneficiary to the eligibility group that covered their Medicaid or CHIP benefits. If the beneficiary's income was assessed using multiple methodologies (MAGI and Non-MAGI), report the one that applies to their primary eligibility group.\|(LVR) value must be between 0 and 400 inclusively\|ELIGIBLE\|VARIABLE-DEMOGRAPHICS-ELIGIBILITY-ELG00003

ELIGIBLE-FEDERAL-POVERTY-LEVEL-PERCENTAGE