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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

ALL-16-014-14

Data Quality Measure
Last updated

Key Information

Measure Name % of claim lines in MBESCBES-FORM-GROUP 1 with MBESCBES-CATEGORY-OF-SERVICE = “14”, “35”, “42” or “44” (OT) linked to an MSIS ID where SEX = “M”
File Type Multiple Files
Measure ID ALL-16-014-14
Measure Type Claims Percentage
Content area ELG ALL MULTI

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,Cap or Medicaid,Enc or Medicaid,Serv or Medicaid,Supp or CHIP,FFS or CHIP,Cap or CHIP,Enc or CHIP,Serv or CHIP,Supp
Adjustment Type All Adjustment Types
Crossover Type All Indicators

Thresholds

Minimum N/A
Maximum N/A
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 SEX • MBESCBES-FORM-GROUP • MSIS-IDENTIFICATION-NUM • MBESCBES-CATEGORY-OF-SERVICE • MSIS-IDENTIFICATION-NUM
DD Data Element Number ELG023 • COT290 • ELG019 • COT256 • COT157

Annotation N/A
Specification N/A