EL-1-001-1

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TMSIS Dataguide

Medicaid.gov

Version:

EL-1-001-1

Data Quality Measure

Last updated

Key Information

Measure Name	% of MSIS IDs with SSN and MSIS ID
File Type	ELG
Measure ID	EL-1-001-1
Measure Type	Non-Claims Percentage
Content area	ELG

Validation

Validation Type	Longitudinal and inferential

Measure Priority

Measure Priority	Medium
Focus Area	N/A
Category	Beneficiary demographics

Claim Information

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

Thresholds

Minimum	0.9
Maximum	1
TA Minimun	0.9
TA Maximum	1
Longitudinal Threshold	0.05
For TA (for including in compliance training)	TA- Inferential
For TA (Longitudinal)	No

Data Elements

DD Data Element	MSIS-IDENTIFICATION-NUM • SSN
DD Data Element Number	ELG033 • ELG036

Annotation

Calculate the percentage of eligibles with SSN and MSIS ID

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: Variable demographics on the last day of DQ report month

Using the MSIS IDs that meet the criteria from STEP 1, join to segment VARIABLE-DEMOGRAPHICS-ELG00003 by keeping records that satisfy the following criteria:

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

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

OR

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

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

STEP 3: Non-missing SSN

Of the MSIS IDs that meet the criteria from STEP 2, further refine the population by keeping records with non-missing SSN

STEP 4: Non-missing MSIS ID

Of the MSIS IDs that meet the criteria from STEP 3, further refine the population by keeping records with non-missing MSIS-IDENTIFICATION-NUM

STEP 5: Calculate percentage for measure

DIVIDE the count of MSIS IDs from STEP 4 by the count of MSIS IDs from STEP 1

Published Date	Data Guide Version	DQM	Action	Field	Before	After
11/15/2023	3.16.0	EL-1-001-1	UPDATE	Specification	STEP 1: Enrolled on the last day of DQ report monthDefine 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 missing3. MSIS-IDENTIFICATION-NUM is not missingSTEP 2: Primary demographics on the last day of DQ report monthUsing the MSIS IDs that meet the criteria from STEP 1, 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 month2a. PRIMARY-DEMOGRAPHIC-ELEMENT-END-DATE >= last day of the DQ report month OR missingOR1b. PRIMARY-DEMOGRAPHIC-ELEMENT-EFF-DATE is missing2b. PRIMARY-DEMOGRAPHIC-ELEMENT-END-DATE is missingSTEP 3: Non-missing SSNOf the MSIS IDs that meet the criteria from STEP 2, further refine the population by keeping records with non-missing SSNSTEP 4: Non-missing MSIS IDOf the MSIS IDs that meet the criteria from STEP 3, further refine the population by keeping records with non-missing MSIS-IDENTIFICATION-NUMSTEP 5: Calculate percentage for measureDIVIDE the count of MSIS IDs from STEP 4 by the count of MSIS IDs from STEP 1	STEP 1: Enrolled on the last day of DQ report monthDefine 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 missing3. MSIS-IDENTIFICATION-NUM is not missingSTEP 2: Variable demographics on the last day of DQ report monthUsing the MSIS IDs that meet the criteria from STEP 1, join to segment VARIABLE-DEMOGRAPHICS-ELG00003 by keeping records that satisfy the following criteria:1a. VARIABLE-DEMOGRAPHIC-ELEMENT-EFF-DATE <= last day of the DQ report month2a. VARIABLE-DEMOGRAPHIC-ELEMENT-END-DATE >= last day of the DQ report month OR missingOR1b. VARIABLE-DEMOGRAPHIC-ELEMENT-EFF-DATE is missing2b. VARIABLE-DEMOGRAPHIC-ELEMENT-END-DATE is missingSTEP 3: Non-missing SSNOf the MSIS IDs that meet the criteria from STEP 2, further refine the population by keeping records with non-missing SSNSTEP 4: Non-missing MSIS IDOf the MSIS IDs that meet the criteria from STEP 3, further refine the population by keeping records with non-missing MSIS-IDENTIFICATION-NUMSTEP 5: Calculate percentage for measureDIVIDE the count of MSIS IDs from STEP 4 by the count of MSIS IDs from STEP 1