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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

RULE-7556

Data Quality Measure
Last updated

Key Information

Measure Name % of record segments with DUAL-ELIGIBLE-CODE = 6 (QI) that do not have ELIGIBILITY-GROUP = 26 (Qualifying Individuals)
File Type ELG
Measure ID RULE-7556
Measure Type Non-Claims Percentage
Content area ELG

Validation

Validation Type 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
Maximum 0.01
TA Minimun 0
TA Maximum 0.01
Longitudinal Threshold N/A
For TA
(for including in compliance training) 		TA- Inferential
For TA
(Longitudinal) 		No

Data Elements

DD Data Element ELIGIBILITY-GROUP • DUAL-ELIGIBLE-CODE
DD Data Element Number ELG087 • ELG085

Annotation N/A
Specification RULE-7556