EL-3-002

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Measure Name	% of MSIS IDs with CHIP-CODE = 3 (S-CHIP) that have ENROLLMENT-TYPE = 1 (Medicaid or M-CHIP)
File Type	ELG
Measure ID	EL-3-002_4-32
Measure Type	Non-Claims Percentage
Content area	ELG

Validation Type	Inferential

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

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

Minimum	0
Maximum	0.01
TA Minimun
TA Maximum
Longitudinal Threshold	N/A
For TA (for including in compliance training)	No
For TA (Longitudinal)	No

DD Data Element	CHIP-CODE • ENROLLMENT-TYPE • MSIS-IDENTIFICATION-NUM
DD Data Element Number	ELG054 • ELG252 • ELG033

Annotation	N/A
Specification	N/A

Published Date	Data Guide Version	DQM	Action	Field	Before	After
11/20/2025	4.0.22	EL-3-002_4-32	UPDATE	Annotation	Calculate the percentage of S-CHIP eligibles defined by CHIP-CODE that are designated as Medicaid according to ENROLLMENT-TYPE	N/A
11/20/2025	4.0.22	EL-3-002_4-32	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: Variable demographics on the last day of DQ report monthUsing the MSIS IDs that meet the criteria from STEP 1, join to segment VARIABLE-DEMOGRAPHIC-ELG00003 by keeping records that satisfy the following criteria:1a. VARIABLE-DEMOGRAPHIC-ELEMENT-EFF-DATE <= last day of the DQ report month2a. VARIABLE-DEMOGRAPHIC-ELEMENT-END-DATE >= last day of the DQ report month OR missingOR1b. VARIABLE-DEMOGRAPHIC-ELEMENT-EFF-DATE is missing2b. VARIABLE-DEMOGRAPHIC-ELEMENT-END-DATE is missingSTEP 3: S-CHIPOf the MSIS IDs that meet the criteria from STEP 2, further refine the population by keeping records that satisfy the following criteria:1. CHIP-CODE = "3"STEP 4: Medicaid enrollment typeOf the records that meet the criteria rom STEP 3, further refine the population by keeping records that satisfy the following criteria:1. ENROLLMENT-TYPE = "1"STEP 5: PercentageDivide the count of unique MSIS IDs from STEP 4 by the count of unique MSIS IDs from STEP 3	N/A
04/24/2025	4.0.7	EL-3-002_4-32	ADD	N/A		Created

EL-3-002_4-32

Key Information

Validation

Measure Priority

Claim Information

Thresholds

Data Elements