An official website of the United States government

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock () or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

TMSIS Dataguide Medicaid.gov

Version:

3.39.0

EL-3-011-10

Data Quality Measure
Last updated

Key Information

Measure Name % of MSIS IDs in ELIGIBILITY-GROUP = 34 (BCCP) that are female
File Type ELG
Measure ID EL-3-011-10
Measure Type Non-Claims Percentage
Content area ELG

Validation

Validation Type Longitudinal and inferential

Measure Priority

Measure Priority Medium
Focus Area N/A
Category Beneficiary eligibility

Claim Information

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

Thresholds

Minimum 0.99
Maximum 1
TA Minimun 0.9
TA Maximum 1
Longitudinal Threshold 0.05
For TA
(for including in compliance training) 		TA- Inferential
For TA
(Longitudinal) 		No

Data Elements

DD Data Element ELIGIBILITY-GROUP • MSIS-IDENTIFICATION-NUM • SEX
DD Data Element Number ELG087 • ELG082 • ELG023

Annotation Calculate the percentage of eligibles in BCCP eligibility group that are female
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: Eligibility determinants on the last day of DQ report month

Using the MSIS IDs that meet the criteria from STEP 1, join to segment ELIGIBILITY-DETERMINANTS-ELG00005 by keeping records that satisfy the following criteria:

1. PRIMARY-ELIGIBILITY-GROUP-IND = 1

2a. ELIGIBILITY-DETERMINANT-EFF-DATE <= last day of the DQ report month

3a. ELIGIBILITY-DETERMINANT-END-DATE >= last day of the DQ report month OR missing

OR

2b. ELIGIBILITY-DETERMINANT-EFF-DATE is missing

3b. ELIGIBILITY-DETERMINANT-END-DATE is missing



STEP 3: BCCP eligibility group

Of the MSIS IDs that meet the criteria from STEP 2, further refine the population using ELIGIBILITY-GROUP=“34”



STEP 4: Primary demographics on the last day of DQ report month

Using the MSIS IDs that meet the criteria from STEP 3, 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 5: Female

Of the MSIS IDs that meet the criteria from STEP 4, further refine the population by keeping records with SEX = "F"



STEP 6: Calculate percentage for measure

DIVIDE the count of MSIS IDs from STEP 5 by the count of MSIS IDs from STEP 3