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Page 29 – State Health Official Letter
APPENDIX B - Summary of Hub Changes in Accordance with Section 71109 of the WFTC Legislation As described previously in the section entitled Verification of Immigration Status, the Hub VLP v37.1 v2 service applies translation logic to the DHS SAVE program response data and provides the following response indicators to verify immigration and citizenship status: • Naturalized or Derived Citizenship (U.S. Citizen Code) • Lawful Presence Verified (LPV) • Eligible Noncitizen (ENC) Status69 • Qualified Noncitizen (QNC) Status* • Five-Year Bar Applicable (5Yr Bar Apply) • Five-Year Bar Met (5Yr Bar Met) For each of these immigration and citizenship indicators, the Hub returns indicators set to either: Y (for Yes), N (for No), P (for Pending), or X (for Not Applicable). The Hub will return two ENC indicators: (1) for APTC/CSR eligibility (APTC ENC) entitled “APTCEligibleNonCitizenCode,” and (2) for FFP availability in Medicaid/CHIP (MC ENC) entitled “MCEligibleNonCitizenCode.” The APTC ENC and MC ENC are new indicators added to the Hub VLP v37.1 v2 service. The values returned for the APTC ENC and MC ENC indicators will be identical and can be used to verify that an applicant or beneficiary is an LPR, Cuban/Haitian entrant, or COFA migrant. As described previously in this letter, all FFP-eligible noncitizens (i.e., MC ENCs) are QNCs and considered lawfully present. *NOTE: Due to the statutory changes made by the WFTC legislation, the QNC indicator will have limited usage beginning October 1, 2026, for Medicaid and CHIP. TABLE 2. Overview of Hub Indicator Logic, by FFP-Eligible Noncitizen Status/Category Description LPV ENC (APTC & MC) QNC 5Yr Bar Apply 5Yr Bar Met LPR Y Y Y Y/N/P Y/N/P/X Cuban/Haitian entrant Y Y Y N X COFA migrant Y Y Y N X
69 If the “Eligible Noncitizen (ENC) Status” is Yes (“Y”), then the noncitizen has been verified by DHS SAVE program to be either a Lawful Permanent Resident (LPR), a Cuban/Haitian entrant, or a COFA migrant and, therefore, in an immigration status or category for which the state can receive FFP for full Medicaid or CHIP benefits in accordance with section 1903(v)(5) of the Act.