ELG.016.215

An official website of the United States government

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock () or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

TMSIS Dataguide

Medicaid.gov

Version 3.36.0

AMERICAN-INDIAN-ALASKA-NATIVE-INDICATOR

Data Element

DE Number

ELG215

System DE Number

ELG.016.215

File Name

File Segment Number

File Segment Name

RACE-INFORMATION

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	"American Indian or Alaska Native" means any individual defined at 25 USC 1603(13), 1603(28), or 1679(a), or who has been determined eligible as an Indian, pursuant to 42 CFR 136.12. This means the individual: a. Is a member of a Federally-recognized Indian tribe; b. Resides in an urban center and meets one or more of the following four criteria: i. Is a member of a tribe, band, or other organized group of Indians, including those tribes, bands, or groups terminated since 1940 and those recognized now or in the future by the State in which they reside, or who is a descendant, in the first or second degree, of any such member; ii. Is an Eskimo or Aleut or other Alaska Native; iii. Is considered by the Secretary of the Interior to be an Indian for any purpose; or iv. Is determined to be an Indian under regulations promulgated by the Secretary of Health and Human Services; c. Is considered by the Secretary of the Interior to be an Indian for any purpose; or d. Is considered by the Secretary of Health and Human Services to be an Indian for purposes of eligibility for Indian health care services, including as a California Indian, Eskimo, Aleut, or other Alaska Native. NOTE Applicants who complete Appendix B of the Marketplace/Medicaid application and respond affirmatively to the two questions shown below are considered to meet the definition of an American Indian/Alaskan Native. Are you a member of a federally recognized tribe? Has this person ever gotten a service from the Indian Health Service, a tribal health program, or urban Indian health program, or through a referral from one of these programs?
Size	X(1)
FLF Start Position	70
FLF Stop Position	70
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 1 character 2. Value must be in [0,1] or not populated 3. Value must be in American Indian Alaskan Native Indicator List (VVL) 4. Conditional

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

RULE ID	RULE Definition
RULE-2434	If the american indian alaska native indicator is populated on a race information file, then the american indian alaska native indicator reported must be found in the list of valid values.
RULE-6825	If a segment is a race information segment from an ELG file, then the american indian alaska native indicator value reported must be compatible with the specified T-MSIS picture format: X(1).

Measure ID	Measure Name
EL-1-012_1-27	% of MSIS IDs with AMERICAN-INDIAN-ALASKAN-NATIVE-INDICATOR = 1 but do not have RACE = 003 (American Indian or Alaskan Native)
MIS-1-076-76	% distinct MSIS IDs with only missing values in any active segment: AMERICAN-INDIAN-ALASKAN-NATIVE-INDICATOR (ELG00016)
EL-1-012-11	% of Certified American Indian/Alaskan Natives with a self-identified race of American Indian or Alaskan Native (DD V2.0)
ALL-16-016-16	% of claims with IHS-SERVICE-IND = “1” not linked to any MSIS ID where AMERICAN-INDIAN-ALASKAN-NATIVE-INDICATOR = “1”
ALL-16-017-17	% of claims with IHS-SERVICE-IND = “1” not linked to any MSIS ID where AMERICAN-INDIAN-ALASKAN-NATIVE-INDICATOR = “1”
ALL-16-018-18	% of claims with IHS-SERVICE-IND = “1” not linked to any MSIS ID where AMERICAN-INDIAN-ALASKAN-NATIVE-INDICATOR = “1”
ALL-16-019-19	% of claims with IHS-SERVICE-IND = “1” not linked to any MSIS ID where AMERICAN-INDIAN-ALASKAN-NATIVE-INDICATOR = “1”

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.016.215	UPDATE	Coding requirement	1. Value must be 1 character2. Value must be in [0, 1] or not populated3. Value must be in American Indian Alaskan Native Indicator List (VVL)4. Conditional	1. Value must be 1 character2. Value must be in [0,1] or not populated3. Value must be in American Indian Alaskan Native Indicator List (VVL)4. Conditional
08/22/2023	3.12.0	ELG.016.215	UPDATE	Definition	"American Indian or Alaska Native" means any individual defined at 25 USC 1603(13), 1603(28), or 1679(a), or who has been determined eligible as an Indian, pursuant to 42 CFR 136.12. This means the individual: a. Is a member of a Federally-recognized Indian tribe; b. Resides in an urban center and meets one or more of the following four criteria: i. Is a member of a tribe, band, or other organized group of Indians, including those tribes, bands, or groups terminated since 1940 and those recognized now or in the future by the State in which they reside, or who is a descendant, in the first or second degree, of any such member; ii. Is an Eskimo or Aleut or other Alaska Native; iii. Is considered by the Secretary of the Interior to be an Indian for any purpose; or iv. Is determined to be an Indian under regulations promulgated by the `Secretary of Health and Human Services; c. Is considered by the Secretary of the Interior to be an Indian for any purpose; or d. Is considered by the Secretary of Health and Human Services to be an Indian for purposes of eligibility for Indian health care services, including as a California Indian, Eskimo, Aleut, or other Alaska Native. NOTE Applicants who complete Appendix B of the Marketplace/Medicaid application and respond affirmatively to the two questions shown below are considered to meet the definition of an American Indian/Alaskan Native. Are you a member of a federally recognized tribe? Has this person ever gotten a service from the Indian Health Service, a tribal health program, or urban Indian health program, or through a referral from one of these programs?	"American Indian or Alaska Native" means any individual defined at 25 USC 1603(13), 1603(28), or 1679(a), or who has been determined eligible as an Indian, pursuant to 42 CFR 136.12. This means the individual: a. Is a member of a Federally-recognized Indian tribe; b. Resides in an urban center and meets one or more of the following four criteria: i. Is a member of a tribe, band, or other organized group of Indians, including those tribes, bands, or groups terminated since 1940 and those recognized now or in the future by the State in which they reside, or who is a descendant, in the first or second degree, of any such member; ii. Is an Eskimo or Aleut or other Alaska Native; iii. Is considered by the Secretary of the Interior to be an Indian for any purpose; or iv. Is determined to be an Indian under regulations promulgated by the Secretary of Health and Human Services; c. Is considered by the Secretary of the Interior to be an Indian for any purpose; or d. Is considered by the Secretary of Health and Human Services to be an Indian for purposes of eligibility for Indian health care services, including as a California Indian, Eskimo, Aleut, or other Alaska Native. NOTE Applicants who complete Appendix B of the Marketplace/Medicaid application and respond affirmatively to the two questions shown below are considered to meet the definition of an American Indian/Alaskan Native. Are you a member of a federally recognized tribe? Has this person ever gotten a service from the Indian Health Service, a tribal health program, or urban Indian health program, or through a referral from one of these programs?
08/01/2023	3.11.0	ELG.016.215	UPDATE	Coding requirement	1. Value must be 1 character2. Value must be in [0, 1] or not populated3. Value must be in American Indian Alaskan Native Indicator List (VVL)4. Value must be 1 character5. Conditional	1. Value must be 1 character2. Value must be in [0, 1] or not populated3. Value must be in American Indian Alaskan Native Indicator List (VVL)4. Conditional
02/26/2021	3.0.0	AMERICAN-INDIAN-ALASKA-NATIVE-INDICATOR	UPDATE	Data Dictionary - Valid Values	VALUE_SET_ID\|EFFECTIVE_DATE\|END_DATE\|VALUE\|NAME\|DESCRIPTION\| \|CERTIFIED-AMERICAN-INDIAN-ALASKAN-NATIVE-INDICATOR\|00010101\|99991231\|0\|Not applicable\| \| \|CERTIFIED-AMERICAN-INDIAN-ALASKAN-NATIVE-INDICATOR\|00010101\|99991231\|1\|No, Individual does not have CDIB\| \| \|CERTIFIED-AMERICAN-INDIAN-ALASKAN-NATIVE-INDICATOR\|00010101\|20200214\|2\|Yes, Individual does have CDIB\| \|	\|VALUE_SET_ID\|EFFECTIVE_DATE\|END_DATE\|VALUE\|NAME\|DESCRIPTION\| \|CERTIFIED-AMERICAN-INDIAN-ALASKAN-NATIVE-INDICATOR\|00010101\|99991231\|0\|Individual does not meet the definition of an American Indian/Alaska Native.\| \| \|CERTIFIED-AMERICAN-INDIAN-ALASKAN-NATIVE-INDICATOR\|00010101\|99991231\|1\|Individual meets the definition of an American Indian/Alaska Native.\| \| No update is required for value '2'. This value is end dated on 2/24/2020.
06/24/2022	3.0.0	ELG215/AMERICAN-INDIAN-ALASKA-NATIVE-INDICATOR	Rename DE	Data Dictionary - Record Layout	DE No\|Data Element Name ELG215\|CERTIFIED-AMERICAN-INDIAN-ALASKAN-NATIVE-INDICATOR	DE No\|Data Element Name ELG215\|AMERICAN-INDIAN-ALASKA-NATIVE-INDICATOR
07/02/2021	3.0.0	AMERICAN-INDIAN-ALASKAN-NATIVE-INDICATOR (ELG215)	UPDATE	Data Dictionary - Valid Values	Valid Value '0' Description: Individual does not meet the definition of an American Indian/Alaskan Native. Valid Value '1' Description: Individual meets the definition of an American Indian/Alaskan Native.	Valid Value '0' Description: Individual does not meet the definition of an American Indian/Alaska Native. Valid Value '1' Description: Individual meets the definition of an American Indian/Alaska Native.
06/24/2022	3.0.0	ELG215	UPDATE	Data Dictionary	\|DE NO\| DATA ELEMENT NAME ELG215\|CERTIFIED-AMERICAN-INDIAN-ALASKAN-NATIVE-INDICATOR	\|DE NO\| DATA ELEMENT NAME ELG215\|AMERICAN-INDIAN-ALASKA-NATIVE-INDICATOR
04/01/2022	3.0.0	ELG215	UPDATE	Data Dictionary - Valid Values	VALUE_SET_ID\|END_DATE\|VALUE\|NAME\|DESCRIPTION AMERICAN-INDIAN-ALASKA-NATIVE-INDICATOR\|20200214\|2\|Yes, Individual does have CDIB	VALUE_SET_ID\|END_DATE\|VALUE\|NAME\|DESCRIPTION AMERICAN-INDIAN-ALASKA-NATIVE-INDICATOR\|20171201\|2\|Yes, Individual does have CDIB