EL-1-012

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Measure Name	% of MSIS IDs with AMERICAN-INDIAN-ALASKAN-NATIVE-INDICATOR = 1 but do not have RACE = 003 (American Indian or Alaskan Native)
File Type	ELG
Measure ID	EL-1-012_1-27
Measure Type	Non-Claims Percentage
Content area	ELG

Validation Type	Inferential

Measure Priority	High
Focus Area	Race/ethnicity
Category	Beneficiary demographics

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

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

DD Data Element	MSIS-IDENTIFICATION-NUM • AMERICAN-INDIAN-ALASKA-NATIVE-INDICATOR • RACE
DD Data Element Number	ELG212 • ELG215 • ELG213

Annotation	N/A
Specification	N/A

Published Date	Data Guide Version	DQM	Action	Field	Before	After
11/20/2025	4.0.22	EL-1-012_1-27	UPDATE	Annotation	Calculate the percentage of eligibles with an American Indian / Alaskan Native indicator whose race is not American Indian/Alaskan Native	N/A
11/20/2025	4.0.22	EL-1-012_1-27	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 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: American Indian / Alaskan Native indicatorOf the MSIS IDs that meet the criteria from STEP 2, further refine the population by keeping MSIS IDs where:1. AMERICAN-INDIAN-ALASKAN-NATIVE-INDICATOR = "1" STEP 4: Race is American Indian or Alaskan NativeOf the MSIS IDs that meet the criteria from STEP 3, restrict to those where:1. RACE equals "003" on any record segmentSTEP 5: Race is not American Indian or Alaskan NativeSubtract the total number of MSIS IDs that meet the criteria from STEP 3 from the total number of MSIS IDs from STEP 4STEP 6: Calculate percentageDivide the count of unique MSIS IDs from STEP 5 by the count of unique MSIS IDs from STEP 3	N/A
04/24/2025	4.0.7	EL-1-012_1-27	ADD	N/A		Created

EL-1-012_1-27

Key Information

Validation

Measure Priority

Claim Information

Thresholds

Data Elements