EL-15-002-2

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Measure Name	% difference between T-MSIS CHIP count (EL-S-003-3) and PI CHIP count (M-CHIP + S-CHIP)
File Type	ELG
Measure ID	EL-15-002-2
Measure Type	Non-claims percentage
Content area	ELG

Validation Type	Inferential

Measure Priority	High
Focus Area	Enrollment monitoring
Category	Beneficiary eligibility

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

Minimum	-0.05
Maximum	0.05
TA Minimun	-0.05
TA Maximum	0.05
Longitudinal Threshold	N/A
For TA (for including in compliance training)	TA- Inferential
For TA (Longitudinal)	No

DD Data Element	CHIP-CODE • MSIS-IDENTIFICATION-NUM
DD Data Element Number	ELG054 • ELG033

Annotation	N/A
Specification	N/A

Published Date	Data Guide Version	DQM	Action	Field	Before	After
11/20/2025	4.0.22	EL-15-002-2	UPDATE	Annotation	Calculate the percent difference between the number of CHIP enrollees and the Performance Indicator (PI) CHIP enrollment count	N/A
11/20/2025	4.0.22	EL-15-002-2	UPDATE	Specification	STEP 1: Performance indicator CHIP countRetrieve the PI CHIP enrollment count from the PI data. This is an external source. More information is available at: https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-chip-enrollment-data/monthly-medicaid-chip-application-eligibility-determination-and-enrollment-reports-dataNote: The PI CHIP enrollment count is not always available for the T-MSIS DQ analysis month at the time of the measure calculation. In such cases, the DQ team will wait until the PI data are ready to do the calculation, so that the PI count and T-MSIS count are for the same month.STEP 2: CHIP enrollee countUse the measure statistic from EL-S-003-3STEP 3: DifferenceSubtract the count of PI CHIP enrollment from STEP 1 from the count of CHIP enrollees from STEP 2STEP 4: PercentageDivide the difference from STEP 3 by the PI CHIP count from STEP 1	N/A
10/07/2025	4.0.19	EL-15-002-2	UPDATE	Grace period expiration date	None	2023-05-31
04/24/2025	4.0.7	EL-15-002-2	ADD	N/A		Created

EL-15-002-2

Key Information

Validation

Measure Priority

Claim Information

Thresholds

Data Elements