Key Information

Measure Name	% of MSIS IDs without a primary address (ELIGIBLE-ADDR-TYPE not equal 1)
File Type	ELG
Measure ID	EL-1-022-22
Measure Type	Non-Claims Percentage
Content area	ELG

Validation

Validation Type	Inferential

Measure Priority

Measure Priority	High
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	0.05
TA Minimun	0
TA Maximum	0.05
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 • ADDR-TYPE
DD Data Element Number	ELG064 • ELG065

Annotation

Calculate the percentage of eligibles that do not have an address that is labeled as the primary address

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: Eligible contact on the last day of the DQ report month Using the MSIS IDs that meet the criteria from STEP 1, join to segment ELIGIBLE-CONTACT-INFORMATION-ELG00004 by keeping records that satisfy the following criteria: 1a. ELIGIBLE-ADDR-EFF-DATE<= last day of the DQ report month 2a. ELIGIBLE-ADDR-END-DATE >= last day of the DQ report month OR missing OR 1b. ELIGIBLE-ADDR-EFF-DATE is missing 2b. ELIGIBLE-ADDR-END-DATE is missing STEP 3: No primary address type Of the MSIS IDs that meet the criteria from STEP 2, further refine the population by keeping MSIS IDs where: 1. ELIGIBLE-ADDR-TYPE is never "01"* STEP 4: Calculate percentage Divide the count of unique MSIS IDs from STEP 3 by the count of unique MSIS IDs from STEP 1 *Note: This can include MSIS IDs from STEP 1 that did not join to an eligible contact information segment.