ELG.016.213

RACE

Data Element

DE Number

ELG213

System DE Number

ELG.016.213

File Name

ELG - ELIGIBLE

File Segment Number

ELG00016

File Segment Name

RACE-INFORMATION

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	A code indicating the individual's race either in accordance with requirements of Section 4302 of the Affordable Care Act classifications Race Code clarifications: If state has beneficiaries coded in their database as "Asian" with no additional detail, then code them in T-MSIS as "Asian Unknown" (valid value "011"). DO NOT USE "Other Asian," "Unspecified" or "Unknown." If state has beneficiaries coded in their database as "Native Hawaiian or Other Pacific Islander" with no additional detail, then code them in T-MSIS as "Native Hawaiian and Other Pacific Islander Unknown" (valid value "016"). DO NOT USE "Native Hawaiian," "Other Pacific Islander," "Unspecified" or "Unknown." If state has beneficiaries coded in their database as "Other" with no additional detail or in a category that is not available in the code set provided, then code them in T-MSIS as "Other" (valid value "018"), but only use "Other" if the use of "Other Asian" or "Other Pacific Islander" are not appropriate. DO NOT USE "Unspecified" or "Unknown". The "Other" valid value was added to T-MSIS to better align T-MSIS with the single-streamlined application and to accommodate some atypical states, despite the requirements of Section 4302 of the ACA. NOTE 1: The "Other Asian" category in T-MSIS (valid value "010") should be used in situations in which an individual's specific Asian subgroup is not available in the code set provided (e.g., Malaysian, Burmese). NOTE 2: The "Unspecified" category in T-MSIS (valid value "017") should be used with an individual who explicitly did not provide information or refused to answer a question.
Size	X(3)
FLF Start Position	42
FLF Stop Position	44
Segment Key Field Identifier	3
Coding Requirements	1. Value must be in Race List (VVL) 2. Value must be 3 characters 3. Mandatory

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date

RULE ID	RULE Definition
RULE-2431	If the race is populated on a race information file, then the race reported must be found in the list of valid values.
RULE-6837	If a segment is a race information segment from an ELG file, then the race value reported must be compatible with the specified T-MSIS picture format: X(3).

Measure ID	Measure Name
EL-1-031-38	% of MSIS IDs that have Other race (RACE = 018)
ALL-16-023-23	% of claims with IHS-SERVICE-IND = “1” (RX) not linked to any MSIS ID where RACE = “003” (American Indian or Alaskan Native)
ALL-16-022-22	% of claims with IHS-SERVICE-IND = “1” (OT) not linked to any MSIS ID where RACE = “003” (American Indian or Alaskan Native)
ALL-16-021-21	% of claims with IHS-SERVICE-IND = “1” (LT) not linked to any MSIS ID where RACE = “003” (American Indian or Alaskan Native)
ALL-16-020-20	% of claims with IHS-SERVICE-IND = “1” (IP) not linked to any MSIS ID where RACE = “003” (American Indian or Alaskan Native)
EL-1-012-11	% of Certified American Indian/Alaskan Natives with a self-identified race of American Indian or Alaskan Native (DD V2.0)
EL-1-037-44	% of MSIS IDs with Other race (RACE = 018) where ETHNICITY-CODE is missing, unspecified, or invalid
EL-1-036-43	% of MSIS IDs with Native Hawaiian or Other Pacific Islander race (RACE = 012, 013, 014, 015, 016) where ETHNICITY-CODE is missing, unspecified, or invalid
EL-1-035-42	% of MSIS IDs with Asian race (RACE = 004, 005, 006, 007, 008, 009, 010, 011) where ETHNICITY-CODE is missing, unspecified, or invalid
EL-1-034-41	% of MSIS IDs with American Indian or Alaska Native race (RACE = 003) where ETHNICITY-CODE is missing, unspecified, or invalid
EL-1-033-40	% MSIS IDs with Black or African American race (RACE = 002) where ETHNICITY-CODE is missing, unspecified, or invalid
EL-1-032-39	% MSIS IDs with White race (RACE = 001) where ETHNICITY-CODE is missing, unspecified, or invalid
EL-1-008-7	Index of dissimilarity - race
EL-1-030-37	% of MSIS IDs that have Native Hawaiian or Other Pacific Islander race (RACE = 012, 013, 014, 015, 016)
EL-1-029-36	% of MSIS IDs that have Asian race (RACE = 004, 005, 006, 007, 008, 009, 010, 011)
EL-1-028-35	% of MSIS IDs that have American Indian or Alaska Native race (RACE = 003)
EL-1-027-34	% of MSIS IDs that have Black or African American race (RACE = 002)
EL-1-026-33	% of MSIS IDs that have White race (RACE = 001)
MIS-1-078-78	% distinct MSIS IDs with only missing values in any active segment: RACE (ELG00016)
EL-18-001-1	Race values
EL-1-012_1-27	% of MSIS IDs with AMERICAN-INDIAN-ALASKAN-NATIVE-INDICATOR = 1 but do not have RACE = 003 (American Indian or Alaskan Native)
EL-1-011-10	% of MSIS IDs with unspecified, unknown, missing or invalid Race
EL-1-011_1-29	% of MSIS IDs with more than one valid, specified race value

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
07/02/2021	3.0.0	RACE (ELG213)	UPDATE	Data Dictionary - Valid Values	Valid Value '003' Description: American Indian or Alaskan Native	Valid Value '003' Description: American Indian or Alaska Native
12/03/2021	3.0.0	RACE	ADD	Data Dictionary - Valid Values	N/A	\|VALUE_SET_ID\|EFFECTIVE_DATE\|END_DATE\|VALUE\|NAME\|DESCRIPTION\| \|RACE\|00010101\|99991231\|018\|Other\|
12/03/2021	3.0.0	RACE (ELG213)	UPDATE	Data Dictionary	\|DE NO\| DATA ELEMENT NAME\| DEFINITION\| NECESSITY \|CODING REQUIREMENT\| \|ELG213\|RACE\| Not Applicable \|Not Applicable \|A code indicating the individual's race either in accordance with requirements of Section 4302 of the Affordable Care Act classifications Race Code clarifications: If state has beneficiaries coded in their database as "Asian" with no additional detail, then code them in T-MSIS as "Asian Unknown" (valid value "011"). DO NOT USE "Other Asian," "Unspecified" or "Unknown." If state has beneficiaries coded in their database as "Native Hawaiian or Other Pacific Islander" with no additional detail, then code them in T-MSIS as "Native Hawaiian and Other Pacific Islander Unknown" (valid value "016"). DO NOT USE "Native Hawaiian," "Other Pacific Islander," "Unspecified" or "Unknown."NOTE 1: The "Other Asian" category in T-MSIS (valid value "010") should be used in situations in which an individual's specific Asian subgroup is not available in the code set provided (e.g., Malaysian, Burmese).NOTE 2: The "Unspecified" category in T-MSIS (valid value "017") should be used with an individual who explicitly did not provide information or refused to answer a question\|	\|DE NO\| DATA ELEMENT NAME\| DEFINITION\| NECESSITY \|CODING REQUIREMENT\| \|ELG213\|RACE\| Not Applicable \|Not Applicable \|A code indicating the individual's race in accordance with requirements of Section 4302 of the Affordable Care Act classifications Race Code clarifications: If state has beneficiaries coded in their database as "Asian" with no additional detail, then code them in T-MSIS as "Asian Unknown" (valid value "011"). DO NOT USE "Other Asian," "Unspecified" or "Unknown." If state has beneficiaries coded in their database as "Native Hawaiian or Other Pacific Islander" with no additional detail, then code them in T-MSIS as "Native Hawaiian and Other Pacific Islander Unknown" (valid value "016"). DO NOT USE "Native Hawaiian," "Other Pacific Islander," "Unspecified" or "Unknown." If state has beneficiaries coded in their database as “Other” with no additional detail or in a category that is not available in the code set provided, then code them in T-MSIS as “Other” (valid value “018”), but only use “Other” if the use of “Other Asian” or “Other Pacific Islander” are not appropriate. DO NOT USE “Unspecified” or “Unknown”. The “Other” valid value was added to T-MSIS to better align T-MSIS with the single-streamlined application and to accommodate some atypical states, despite the requirements of Section 4302 of the ACA.NOTE 1: The "Other Asian" category in T-MSIS (valid value "010") should be used in situations in which an individual's specific Asian subgroup is not available in the code set provided (e.g., Malaysian, Burmese).NOTE 2: The "Unspecified" category in T-MSIS (valid value "017") should be used with an individual who explicitly did not provide information or refused to answer a question.\|