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TMSIS Dataguide Medicaid.gov

Version:

4.0.20

EL-1-015-14

Data Quality Measure
Last updated

No Updates

Key Information

Measure Name % of MSIS IDs with a valid immigration status whose enrollment in Medicaid is pending immigration verification
File Type ELG
Measure ID EL-1-015-14
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
Maximum 0.2
TA Minimun 0
TA Maximum 0.2
Longitudinal Threshold TBD
For TA
(for including in compliance training) 		TA- Inferential
For TA
(Longitudinal) 		No

Data Elements

DD Data Element MSIS-IDENTIFICATION-NUM • IMMIGRATION-STATUS • IMMIGRATION-VERIFICATION-FLAG
DD Data Element Number ELG033 • ELG042 • ELG043

Annotation Calculate the percentage of eligibles with a non-citizen immigration status whose immigration verification is pending
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-DEMOGRAPHIC-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: Immigration status

Of the MSIS IDs that meet the criteria from STEP 2, restrict to those with an immigration status:

1. IMMIGRATION-STATUS = "1" or "2" or "3"



STEP 4: Enrollment in Medicaid is pending immigration verification

Of the MSIS IDs that meet the criteria from STEP 3, restrict to those pending immigration verification:

1. IMMIGRATION-VERIFICATION-FLAG = "1"



STEP 5: Calculate percentage

Divide the count of unique MSIS IDs from STEP 4 by the count of unique MSIS IDs from STEP 3