EL-15-002-2

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Measure Name	% difference between T-MSIS CHIP count (EL-S-003-3) and PI CHIP count (M-CHIP + S-CHIP)
File Type	ELG
Measure ID	EL-15-002-2
Measure Type	Non-claims percentage
Content area	ELG

Validation Type	Inferential

Measure Priority	High
Focus Area	Enrollment monitoring
Category	Beneficiary eligibility

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

Minimum	-0.05
Maximum	0.05
TA Minimun	-0.05
TA Maximum	0.05
Longitudinal Threshold	N/A
For TA (for including in compliance training)	TA- Inferential
For TA (Longitudinal)	No

DD Data Element	MSIS-IDENTIFICATION-NUM • CHIP-CODE
DD Data Element Number	ELG033 • ELG054

Annotation	Calculate the percent difference between the number of CHIP enrollees and the Performance Indicator (PI) CHIP enrollment count
Specification	STEP 1: Performance indicator CHIP count Retrieve the PI CHIP enrollment count from the PI data. This is an external source. More information is available at: https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/monthly-medicaid-chip-application-eligibility-determination-and-enrollment-reports-data/index.html Note: The PI CHIP enrollment count is not always available for the T-MSIS DQ analysis month at the time of the measure calculation. In such cases, the DQ team will wait until the PI data are ready to do the calculation, so that the PI count and T-MSIS count are for the same month. STEP 2: CHIP enrollee count Use the measure statistic from EL-S-003-3 STEP 3: Difference Subtract the count of PI CHIP enrollment from STEP 1 from the count of CHIP enrollees from STEP 2 STEP 4: Percentage Divide the difference from STEP 3 by the PI CHIP count from STEP 1

Published Date	Data Guide Version	DQM	Action	Field	Before	After
02/26/2025	3.34.0	EL-15-002-2	UPDATE	Specification	STEP 1: Performance indicator CHIP countRetrieve the PI CHIP enrollment count from the PI data. This is an external source. More information is available at: https://www.medicaid.gov/medicaid/program-information/medicaid-and-chip-enrollment-data/sdis/index.htmlNote: The PI CHIP enrollment count is not always available for the T-MSIS DQ analysis month at the time of the measure calculation. In such cases, the DQ team will wait until the PI data are ready to do the calculation, so that the PI count and T-MSIS count are for the same month.STEP 2: CHIP enrollee countUse the measure statistic from EL-S-003-3STEP 3: DifferenceSubtract the count of PI CHIP enrollment from STEP 1 from the count of CHIP enrollees from STEP 2STEP 4: PercentageDivide the difference from STEP 3 by the PI CHIP count from STEP 1	STEP 1: Performance indicator CHIP countRetrieve the PI CHIP enrollment count from the PI data. This is an external source. More information is available at: https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/monthly-medicaid-chip-application-eligibility-determination-and-enrollment-reports-data/index.htmlNote: The PI CHIP enrollment count is not always available for the T-MSIS DQ analysis month at the time of the measure calculation. In such cases, the DQ team will wait until the PI data are ready to do the calculation, so that the PI count and T-MSIS count are for the same month.STEP 2: CHIP enrollee countUse the measure statistic from EL-S-003-3STEP 3: DifferenceSubtract the count of PI CHIP enrollment from STEP 1 from the count of CHIP enrollees from STEP 2STEP 4: PercentageDivide the difference from STEP 3 by the PI CHIP count from STEP 1
12/18/2024	3.33.0	EL-15-002-2	UPDATE	Focus area	Unwinding	Enrollment monitoring
02/02/2024	3.18.0	EL-15-002-2	UPDATE	Focus area	N/A	Unwinding
12/09/2022	3.0.6	EL-15-002-2	UPDATE	Ta min	-0.1	-0.05
12/09/2022	3.0.6	EL-15-002-2	UPDATE	Ta max	0.1	0.05
12/09/2022	3.0.6	EL-15-002-2	UPDATE	Threshold minimum	-0.1	-0.05
12/09/2022	3.0.6	EL-15-002-2	UPDATE	Threshold maximum	0.1	0.05

EL-15-002-2

Key Information

Validation

Measure Priority

Claim Information

Thresholds

Data Elements