EL-S-002-2

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Measure Name	Total # of duals
File Type	ELG
Measure ID	EL-S-002-2
Measure Type	Count
Content area	ELG

Validation Type	Longitudinal

Measure Priority	Medium
Focus Area	N/A
Category	Beneficiary eligibility

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

Minimum	N/A
Maximum	N/A
TA Minimun
TA Maximum
Longitudinal Threshold	0.05
For TA (for including in compliance training)	TA- Longitudinal
For TA (Longitudinal)	Yes

DD Data Element	MSIS-IDENTIFICATION-NUM • DUAL-ELIGIBLE-CODE
DD Data Element Number	ELG082 • ELG085

Annotation	N/A
Specification	N/A

Published Date	Data Guide Version	DQM	Action	Field	Before	After
11/20/2025	4.0.22	EL-S-002-2	UPDATE	Annotation	Count the number of unique MSIS ID's that have a valid dual code	N/A
11/20/2025	4.0.22	EL-S-002-2	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: Eligibility determinants on the last day of DQ report monthUsing 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 = 12a. ELIGIBILITY-DETERMINANT-EFF-DATE <= last day of the DQ report month3a. ELIGIBILITY-DETERMINANT-END-DATE >= last day of the DQ report month OR missingOR2b. ELIGIBILITY-DETERMINANT-EFF-DATE is missing3b. ELIGIBILITY-DETERMINANT-END-DATE is missingSTEP 3: Count dualsOf the MSIS IDs that meet the criteria from STEP 2, count the number of unique MSIS IDs that satisfy the following criterion: 1. DUAL-ELIGIBLE-CODE = "01" or “02” or "03" or “04” or "05" or “06” or “08” or “09” or “10”	N/A
04/24/2025	4.0.7	EL-S-002-2	ADD	N/A		Created

EL-S-002-2

Key Information

Validation

Measure Priority

Claim Information

Thresholds

Data Elements