EL-4-001-1

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Measure Name	Enrollment Type values where CHIP-CODE = 2 (M-CHIP)
File Type	ELG
Measure ID	EL-4-001-1
Measure Type	Frequency
Content area	ELG

Validation Type	Frequency

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

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

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

DD Data Element	ENROLLMENT-TYPE • CHIP-CODE
DD Data Element Number	ELG252 • ELG054

Annotation	N/A
Specification	N/A

Published Date	Data Guide Version	DQM	Action	Field	Before	After
11/20/2025	4.0.22	EL-4-001-1	UPDATE	Annotation	Calculate a frequency of enrollment type for M-CHIP enrollees	N/A
11/20/2025	4.0.22	EL-4-001-1	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 month2. 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 active 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: M-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 = "2"STEP 4: FrequencyCount the number of unique MSIS IDs from STEP 3 for:1. (1,2,9) Each valid value: ENROLLMENT-TYPE = ("1", "2", "9", respectively)2. (A) Any valid value: ENROLLMENT-TYPE = ("1" or "2" or "9")3. (N) No valid value: ENROLLMENT-TYPE (NOT ("1" or "2" or "9") or missing4. (T) total: ENROLLMENT-TYPE = (any missing or non-missing value)	N/A
04/24/2025	4.0.7	EL-4-001-1	ADD	N/A		Created

EL-4-001-1

Key Information

Validation

Measure Priority

Claim Information

Thresholds

Data Elements