EL-1-024-30

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Measure Name	% of MSIS IDs in which a non-primary home address county code, zip code, or state is not in-state and not missing
File Type	ELG
Measure ID	EL-1-024-30
Measure Type	Non-Claims Percentage
Content area	ELG

Validation Type	Inferential

Measure Priority	High
Focus Area	N/A
Category	Beneficiary demographics

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

Minimum	0
Maximum	0.25
TA Minimun	0
TA Maximum	0.25
Longitudinal Threshold	N/A
For TA (for including in compliance training)	TA- Inferential
For TA (Longitudinal)	No

DD Data Element	ELIGIBLE-ZIP-CODE • SUBMITTING-STATE • MSIS-IDENTIFICATION-NUM • ELIGIBLE-COUNTY-CODE • ELIGIBLE-ADDR-TYPE • ELIGIBLE-STATE
DD Data Element Number	ELG071 • ELG062 • ELG064 • ELG072 • ELG065 • ELG070

Annotation	N/A
Specification	N/A

Published Date	Data Guide Version	DQM	Action	Field	Before	After
11/20/2025	4.0.22	EL-1-024-30	UPDATE	Annotation	Calculate the percentage of eligibles where any non-primary address county code, zip code, or state is not in-state and is not missing	N/A
11/20/2025	4.0.22	EL-1-024-30	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: Eligible contact on the last day of the DQ report monthUsing the MSIS IDs that meet the criteria from STEP 1, join to segment ELIGIBLE-CONTACT-INFORMATION-ELG00004 by keeping records that satisfy the following criteria:1a. ELIGIBLE-ADDR-EFF-DATE<= last day of the DQ report month2a. ELIGIBLE-ADDR-END-DATE >= last day of the DQ report month OR missingOR1b. ELIGIBLE-ADDR-EFF-DATE is missing2b. ELIGIBLE-ADDR-END-DATE is missingSTEP 3: Non-primary home addressOf the records that meet the criteria from STEP 2, restrict to segments where:1a. ELIGIBLE-ADDR-TYPE does not equal "01"OR1b. ELIGIBLE-ADDR-TYPE is missingSTEP 4: Eligible county code, zip code, or state is not in-stateOf the segments that meet the criteria from STEP 3, further refine the population by keeping segments where:1a. ELIGIBLE-STATE is not missing2a. ELIGIBLE-STATE does not equal SUBMITTING-STATEOR1b. ELIGIBLE-COUNTY-CODE is not missing2b. ELIGIBLE-COUNTY-CODE is not in-stateOR1c. ELIGIBLE-ZIP-CODE is not missing2c. ELIGIBLE-ZIP-CODE is not in-stateSTEP 5: Calculate percentageDivide the count of unique MSIS IDs from STEP 4 by the count of unique MSIS IDs from STEP 3	N/A
10/07/2025	4.0.19	EL-1-024-30	UPDATE	Grace period expiration date	None	2022-10-31
04/24/2025	4.0.7	EL-1-024-30	ADD	N/A		Created

EL-1-024-30

Key Information

Validation

Measure Priority

Claim Information

Thresholds

Data Elements