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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

EL-1-021-21

Data Quality Measure
Last updated

Key Information

Measure Name % of MSIS IDs with age over 120 or less than -1
File Type ELG
Measure ID EL-1-021-21
Measure Type Non-Claims Percentage
Content area ELG

Validation

Validation Type Inferential

Measure Priority

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

Claim Information

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

Thresholds

Minimum 0
Maximum 0.001
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 DATE-OF-DEATH • MSIS-IDENTIFICATION-NUM • DATE-OF-BIRTH
DD Data Element Number ELG025 • ELG019 • ELG024

Annotation Calculate the percentage of unique MSIS IDs that have an age that is greater than 120 or less than -1
Specification STEP 1: Enrolled on the last day of DQ report month

Define 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 missing

3. MSIS-IDENTIFICATION-NUM is not missing



STEP 2: Primary demographic on the last day of the DQ report month

Using 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 month

2a. PRIMARY-DEMOGRAPHIC-ELEMENT-END-DATE >= last day of the DQ report month OR missing

OR

1b. PRIMARY-DEMOGRAPHIC-ELEMENT-EFF-DATE is missing

2b. PRIMARY-DEMOGRAPHIC-ELEMENT-END-DATE is missing



STEP 3: Calculate Age and keep Age <-1 or Age >120

Of 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 <-1 OR Age >120.



STEP 4: Percentage

Divide the count of unique MSIS IDs from STEP 3 by the count in STEP 1