EL-1-031-38

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TMSIS Dataguide

Medicaid.gov

Version:

EL-1-031-38

Data Quality Measure

Last updated

Key Information

Measure Name	% of MSIS IDs that have Other race (RACE = 018)
File Type	ELG
Measure ID	EL-1-031-38
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	0.2
TA Minimun	0
TA Maximum	0.2
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 • RACE
DD Data Element Number	ELG212 • ELG213

Annotation

Calculate the percentage of MSIS IDs with a RACE value of "018"

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: Race information on the last day of DQ report month

Using the MSIS IDs that meet the criteria from STEP 1, join to segment RACE-INFORMATION-ELG00016 by keeping active records that satisfy the following criteria:

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

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

OR

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

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

STEP 3: Race is Other

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

1. RACE equals "018" on any record segment

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 a race information segment.

Published Date	Data Guide Version	DQM	Action	Field	Before	After
06/19/2024	3.27.0	EL-1-031-38	UPDATE	Priority	N/A	High
06/19/2024	3.27.0	EL-1-031-38	UPDATE	Category	N/A	Beneficiary demographics
06/19/2024	3.27.0	EL-1-031-38	UPDATE	For ta comprehensive	No	TA- Inferential
06/19/2024	3.27.0	EL-1-031-38	UPDATE	For ta inferential	No	Yes
06/19/2024	3.27.0	EL-1-031-38	UPDATE	Ta min		0
06/19/2024	3.27.0	EL-1-031-38	UPDATE	Ta max		0.2
06/19/2024	3.27.0	EL-1-031-38	UPDATE	Threshold minimum	TBD	0
06/19/2024	3.27.0	EL-1-031-38	UPDATE	Threshold maximum	TBD	0.2
06/02/2023	3.8.0	EL-1-031-38	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: Race information on the last day of DQ report monthUsing the MSIS IDs that meet the criteria from STEP 1, join to segment RACE-INFORMATION-ELG00016 by keeping active records that satisfy the following criteria:1a. RACE-DECLARATION-EFF-DATE <= last day of the DQ report month2a. RACE-DECLARATION-END-DATE >= last day of the DQ report month OR missingOR1b. RACE-DECLARATION-EFF-DATE is missing2b. RACE-DECLARATION-END-DATE is missingSTEP 3: Race is OtherOf the MSIS IDs that meet the criteria from STEP 2, further restrict them by the following criteria:1. RACE-CODE equals "018" on any record segmentSTEP 4: PercentageDivide 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 a race information segment.	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: Race information on the last day of DQ report monthUsing the MSIS IDs that meet the criteria from STEP 1, join to segment RACE-INFORMATION-ELG00016 by keeping active records that satisfy the following criteria:1a. RACE-DECLARATION-EFF-DATE <= last day of the DQ report month2a. RACE-DECLARATION-END-DATE >= last day of the DQ report month OR missingOR1b. RACE-DECLARATION-EFF-DATE is missing2b. RACE-DECLARATION-END-DATE is missingSTEP 3: Race is OtherOf the MSIS IDs that meet the criteria from STEP 2, further restrict them by the following criteria:1. RACE equals "018" on any record segmentSTEP 4: PercentageDivide 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 a race information segment.
12/09/2022	3.0.6	EL-1-031-38	ADD	N/A		Created