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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

ALL-13-004-6 *DEPRECATED*

Data Quality Measure
Last updated

Key Information

Measure Name % of MSIS IDs with alien restricted benefits code status (RESTRICTED-BENEFITS-CODE = 2) with services that are not emergency room or pregnancy-related
File Type Multiple Files
Measure ID ALL-13-004-6
Measure Type Claims Percentage
Content area ALL

Validation

Validation Type Inferential

Measure Priority

Measure Priority N/A
Focus Area N/A
Category N/A

Claim Information

Claim Type Medicaid,FFS or Medicaid,Enc
Adjustment Type Original
Crossover Type All Indicators

Thresholds

Minimum 0
Maximum 0.15
TA Minimun
TA Maximum
Longitudinal Threshold N/A
For TA
(for including in compliance training) 		No
For TA
(Longitudinal) 		No

Data Elements

DD Data Element ELIGIBILITY-DETERMINANT-EFF-DATE • ELIGIBILITY-DETERMINANT-END-DATE • BEGINNING-DATE-OF-SERVICE • PLACE-OF-SERVICE • RESTRICTED-BENEFITS-CODE • MSIS-IDENTIFICATION-NUM • REVENUE-CODE • PROCEDURE-CODE • MSIS-IDENTIFICATION-NUM
DD Data Element Number ELG099 • ELG100 • COT033 • COT123 • ELG097 • ELG251 • COT168 • COT169 • COT022

Annotation N/A
Specification N/A