RULE-884

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TMSIS Dataguide

Medicaid.gov

Version:

RULE-884 DEPRECATED

Data Quality Measure

Last updated

Key Information

Measure Name	% of claim headers with an MSIS ID not enrolled on Beginning Date of Service
File Type	Multiple Files
Measure ID	RULE-884
Measure Type	Claims percentage
Content area	ELG ALL MULTI

Validation

Validation Type	Inferential

Measure Priority

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

Claim Information

Claim Type	N/A
Adjustment Type	Non-void
Crossover Type	All Indicators

Thresholds

Minimum	0
Maximum	0.02
TA Minimun
TA Maximum
Longitudinal Threshold	N/A
For TA (for including in compliance training)	No
For TA (Longitudinal)	No

Data Elements

DD Data Element	ENROLLMENT-EFF-DATE • MSIS-IDENTIFICATION-NUM • ENROLLMENT-END-DATE • MSIS-IDENTIFICATION-NUM • BEGINNING-DATE-OF-SERVICE
DD Data Element Number	ELG253 • ELG251 • ELG254 • CLT022 • CLT048

Annotation	N/A
Specification	RULE-884

Published Date	Data Guide Version	DQM	Action	Field	Before	After
05/27/2025	4.0.9	RULE-884	UPDATE	Active	True	False
05/27/2025	4.0.9	RULE-884	UPDATE	Priority	Critical	N/A
05/27/2025	4.0.9	RULE-884	UPDATE	Claim type	Medicaid,FFS or Medicaid,Cap or Medicaid,Enc or Medicaid,Supp or CHIP,FFS or CHIP,Cap or CHIP,Enc or CHIP,Supp	N/A
05/27/2025	4.0.9	RULE-884	UPDATE	Category	File integrity	N/A
05/27/2025	4.0.9	RULE-884	UPDATE	For ta comprehensive	TA- Inferential	No
05/27/2025	4.0.9	RULE-884	UPDATE	For ta inferential	Yes	No
05/27/2025	4.0.9	RULE-884	UPDATE	Ta min	0
05/27/2025	4.0.9	RULE-884	UPDATE	Ta max	0.02
04/24/2025	4.0.7	RULE-884	ADD	N/A		Created