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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

EL-13-001-1

Data Quality Measure
Last updated

Key Information

Measure Name % of MC enrollments with a plan ID that does not link to a health plan affiliated with any provider in the provider file
File Type ELG
Measure ID EL-13-001-1
Measure Type Non-Claims Percentage
Content area ELG MULTI PRO

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 TBD
Maximum TBD
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 MANAGED-CARE-PLAN-ID • AFFILIATED-PROGRAM-TYPE • MSIS-IDENTIFICATION-NUM • AFFILIATED-PROGRAM-ID
DD Data Element Number ELG192 • PRV119 • ELG191 • PRV120

Annotation N/A
Specification N/A