EL-1-017-18

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Measure Name	% of MSIS IDs with age 0 - 20
File Type	ELG
Measure ID	EL-1-017-18
Measure Type	Non-Claims Percentage
Content area	ELG

Validation Type	Longitudinal and inferential

Measure Priority	Medium
Focus Area	N/A
Category	Beneficiary demographics

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

Minimum	0.45
Maximum	0.74
TA Minimun	0.35
TA Maximum	0.9
Longitudinal Threshold	0.05
For TA (for including in compliance training)	TA- Inferential
For TA (Longitudinal)	No

DD Data Element	MSIS-IDENTIFICATION-NUM
DD Data Element Number	ELG019

Annotation	N/A
Specification	N/A

Published Date	Data Guide Version	DQM	Action	Field	Before	After
11/20/2025	4.0.22	EL-1-017-18	UPDATE	Annotation	Calculate the percentage of individuals with ages 0-20	N/A
11/20/2025	4.0.22	EL-1-017-18	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: Primary demographics on the last day of DQ report monthUsing the MSIS IDs that meet the criteria from STEP 1, join to segment PRIMARY-DEMOGRAPHICS-ELG00002 by keeping records that satisfy the following criteria:1a. PRIMARY-DEMOGRAPHIC-ELEMENT-EFF-DATE <= last day of the DQ report month2a. PRIMARY-DEMOGRAPHIC-ELEMENT-END-DATE >= last day of the DQ report month OR missingOR1b. PRIMARY-DEMOGRAPHIC-ELEMENT-EFF-DATE is missing2b. PRIMARY-DEMOGRAPHIC-ELEMENT-END-DATE is missingSTEP 3: Calculate Age and Keep Ages 0-20Of the MSIS IDs that meet the criteria from STEP 2, calculate Age:1a. If DATE-OF-DEATH is non-missing and occurs before the last day of the DQ report month, Age is equal to the years between DATE-OF-DEATH and DATE-OF-BIRTH.1b. Otherwise, Age is equal to the years between the last day of the DQ report month and DATE-OF-BIRTH.Note: perform calculations to count full years (e.g., 5/1/2015 – 8/1/1950 = 64)2. Only keep records where Age >=0 AND Age <=20 STEP 4: Calculate percentageDivide the count of unique MSIS IDs from STEP 3 by the count of unique MSIS IDs from STEP 1	N/A
04/24/2025	4.0.7	EL-1-017-18	ADD	N/A		Created

EL-1-017-18

Key Information

Validation

Measure Priority

Claim Information

Thresholds

Data Elements