TPL-1-005-5

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.

Measure Name	% of MSIS IDs with any enrollment time span
File Type	Multiple Files
Measure ID	TPL-1-005-5
Measure Type	Non-claims percentage
Content area	TPL TPL

Validation Type	Inferential

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

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

Minimum	0.6
Maximum	1
TA Minimun
TA Maximum
Longitudinal Threshold	N/A
For TA (for including in compliance training)	No
For TA (Longitudinal)	No

DD Data Element	MSIS-IDENTIFICATION-NUM • MSIS-IDENTIFICATION-NUM
DD Data Element Number	ELG251 • TPL019

Annotation	N/A
Specification	N/A

Published Date	Data Guide Version	DQM	Action	Field	Before	After
11/20/2025	4.0.22	TPL-1-005-5	UPDATE	Annotation	The percentage of MSIS IDs in the TPL file that can be found on any Eligible file enrollment time span segment	N/A
11/20/2025	4.0.22	TPL-1-005-5	UPDATE	Specification	STEP 1: TPL any timeDefine the TPL population from segment TPL-MEDICAID-ELIGIBLE-PERSON-MAIN-TPL00002 by keeping active records that satisfy the following criteria:1. MSIS-IDENTIFICATION-NUM is not missingSTEP 2: Unique MSIS-IDs in TPLOf the records that meet the criteria from STEP 1, limit to unique MSIS-IDsSTEP 3: Enrolled any timeDefine the eligible population from segment ENROLLMENT-TIME-SPAN-ELG00021 by keeping active records that satisfy the following criteria:1. MSIS-IDENTIFICATION-NUM is not missingSTEP 4: Unique MSIS-IDs from Eligible fileOf the records that meet the criteria from STEP 3, limit to unique MSIS-IDsSTEP 5: Link MSIS-IDs across filesCount the number of MSIS-IDs from STEP 2 that are also in STEP 4STEP 6: Calculate percentageDivide the count of MSIS-IDs from STEP 5 by the count of MSIS-IDs from STEP 2	N/A
04/24/2025	4.0.7	TPL-1-005-5	ADD	N/A		Created

TPL-1-005-5

Key Information

Validation

Measure Priority

Claim Information

Thresholds

Data Elements