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TMSIS Dataguide Medicaid.gov

Version:

4.0.20

RULE-7419

Data Quality Measure
Last updated

Key Information

Measure Name % of segments with ELIGIBILITY-GROUP = 23 through 26 (QMB, QDWI, SLMB or QI) without valid DUAL-ELIGIBLE-CODE 01 through 10
File Type ELG
Measure ID RULE-7419
Measure Type Non-Claims Percentage
Content area ELG

Validation

Validation Type Inferential

Measure Priority

Measure Priority High
Focus Area N/A
Category Beneficiary eligibility

Claim Information

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

Thresholds

Minimum 0
Maximum 0.02
TA Minimun 0
TA Maximum 0.02
Longitudinal Threshold N/A
For TA
(for including in compliance training) 		TA- Inferential
For TA
(Longitudinal) 		No

Data Elements

DD Data Element DUAL-ELIGIBLE-CODE • MSIS-IDENTIFICATION-NUM • ELIGIBILITY-GROUP
DD Data Element Number ELG085 • ELG082 • ELG087

Annotation N/A
Specification RULE-7419