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TMSIS Dataguide Medicaid.gov

Version:

4.0.20

EL-1-010-9

Data Quality Measure
Last updated

No Updates

Key Information

Measure Name % of MSIS IDs with unspecified, unknown, missing or invalid Ethnicity Code
File Type ELG
Measure ID EL-1-010-9
Measure Type Non-Claims Percentage
Content area ELG

Validation

Validation Type Inferential

Measure Priority

Measure Priority High
Focus Area Race/ethnicity
Category Beneficiary demographics

Claim Information

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

Thresholds

Minimum 0
Maximum 0.4
TA Minimun 0
TA Maximum 0.5
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 • ETHNICITY-CODE
DD Data Element Number ELG203 • ELG204

Annotation Calculate the percentage of unique MSIS IDs with unspecified or unknown ethnicity of all unique MSIS IDs with ethnicity information
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: Ethnicity information on the last day of DQ report month

Using the MSIS IDs that meet the criteria from STEP 1, join to segment ETHNICITY-INFORMATION-ELG00015 by keeping active records that satisfy the following criteria:

1a. ETHNICITY-DECLARATION-EFF-DATE <= last day of the DQ report month

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

OR

1b. ETHNICITY-DECLARATION-EFF-DATE is missing

2b. ETHNICITY-DECLARATION-END-DATE is missing



STEP 3: Unknown ethnicity

Of the MSIS IDs that meet the criteria from STEP 2, further restrict them by the following criteria:

1. ETHNICITY-CODE does not equal ( "0","1","2","3","4", or "5") or is missing*



STEP 4: Percentage

Divide the count from STEP 3 by the count in STEP 1





*Note: This can include MSIS IDs from STEP 1 that did not join to an ethnicity information segment.