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TMSIS Dataguide Medicaid.gov
Version 3.38.0

EL-3-009-5

Data Quality Measure
Last updated

No Updates

Key Information

Measure Name Foster Care: % of MSIS IDs in ELIGIBILITY-GROUP = 08, 09 or 30 (Foster Care Children groups) with Age <26
File Type ELG
Measure ID EL-3-009-5
Measure Type Non-Claims Percentage
Content area ELG

Validation

Validation Type Inferential

Measure Priority

Measure Priority Medium
Focus Area N/A
Category Beneficiary eligibility

Claim Information

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

Thresholds

Minimum 0.95
Maximum 1
TA Minimun 0.95
TA Maximum 1
Longitudinal Threshold N/A
For TA
(for including in compliance training) 		TA- Inferential
For TA
(Longitudinal) 		No

Data Elements

DD Data Element MSIS-IDENTIFICATION-NUM • ELIGIBILITY-GROUP
DD Data Element Number ELG082 • ELG087

Annotation Calculate the percentage of foster care enrollees that are less than 26 years old
Specification STEP 1: Enrolled on the last day of DQ report month

Define the eligible population from segment ENROLLMENT-TIME-SPAN-ELG00021 by keeping active records that satisfy the following criteria:

1. ENROLLMENT-EFF-DATE <= last day of the DQ report month

2. ENROLLMENT-END-DATE >= last day of the DQ report month OR missing

3. MSIS-IDENTIFICATION-NUM is not missing



STEP 2: Eligibility determinants on the last day of DQ report month

Using the MSIS IDs that meet the criteria from STEP 1, join to segment ELIGIBILITY-DETERMINANTS-ELG00005 by keeping records that satisfy the following criteria:

1. PRIMARY-ELIGIBILITY-GROUP-IND = 1

2a. ELIGIBILITY-DETERMINANT-EFF-DATE <= last day of the DQ report month

3a. ELIGIBILITY-DETERMINANT-END-DATE >= last day of the DQ report month OR missing

OR

2b. ELIGIBILITY-DETERMINANT-EFF-DATE is missing

3b. ELIGIBILITY-DETERMINANT-END-DATE is missing



STEP 3: Unique foster care enrollees

Of the MSIS IDs that meet the criteria from STEP 2, select foster care enrollees:

1. ELIGIBILITY-GROUP = "08" or "09" or "30"

2. Remove any duplicates, so each MSIS-ID only appears once.



STEP 4: Primary demographics on the last day of DQ report month

Using the MSIS IDs that meet the criteria from STEP 3, join to segment PRIMARY-DEMOGRAPHICS-ELG00002 by keeping records that satisfy the following criteria:

1a. PRIMARY-DEMOGRAPHIC-ELEMENT-EFF-DATE <= last day of the DQ report month

2a. PRIMARY-DEMOGRAPHIC-ELEMENT-END-DATE >= last day of the DQ report month OR missing

OR

1b. PRIMARY-DEMOGRAPHIC-ELEMENT-EFF-DATE is missing

2b. PRIMARY-DEMOGRAPHIC-ELEMENT-END-DATE is missing



STEP 5: Calculate age

Of the MSIS IDs that meet the criteria from STEP 4, calculate age:

1a. If DATE-OF-DEATH is non-missing and occurs before the last day of the DQ report month, Age is equal to the years between DATE-OF-DEATH and DATE-OF-BIRTH.

1b. Otherwise, Age is equal to the years between the last day of the DQ report month and DATE-OF-BIRTH.

Note: perform calculations to count full years (e.g., 5/1/2015 – 8/1/1950 = 64)



STEP 6: Foster care enrollees aged < 26

Merge the MSIS IDs from STEP 3 and 5 and only keep the matches and make sure there is still only one observation per MSIS-ID. Then, select foster care enrollees with Age < 26.



STEP 7: Calculate percentage for measure

Divide the count of MSIS IDs from STEP 6 by the count of MSIS IDs from STEP 3