Key Information

Measure Name	% of MSIS IDs with MSIS Case Number
File Type	ELG
Measure ID	EL-1-005-16
Measure Type	Non-Claims Percentage
Content area	ELG

Validation

Validation Type	Longitudinal and Inferential

Measure Priority

Measure Priority	Medium
Focus Area	N/A
Category	Beneficiary demographics

Claim Information

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

Thresholds

Minimum	0.9
Maximum	1
TA Minimun	0.9
TA Maximum	1
Longitudinal Threshold	0.05
For TA (for including in compliance training)	TA- Inferential
For TA (Longitudinal)	No

Data Elements

DD Data Element	MSIS-IDENTIFICATION-NUM • MSIS-CASE-NUM
DD Data Element Number	ELG082 • ELG083

Annotation

Calculate the percentage of unique MSIS ID's that a MSIS Case Number

Specification

STEP 1: Enrolled on the last day of DQ report month Define 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 missing 3. MSIS-IDENTIFICATION-NUM is not missing STEP 2: Eligibility determinants on the last day of DQ report month Using 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 = 1 2a. ELIGIBILITY-DETERMINANT-EFF-DATE <= last day of the DQ report month 3a. ELIGIBILITY-DETERMINANT-END-DATE >= last day of the DQ report month OR missing OR 2b. ELIGIBILITY-DETERMINANT-EFF-DATE is missing 3b. ELIGIBILITY-DETERMINANT-END-DATE is missing STEP 3: MSIS Case Number is not missing Of the MSIS IDs that meet the criteria from STEP 2, restrict to those with a non-missing case number: 1. MSIS_CASE_NUM is not missing STEP 4: Calculate the percentage Divide the count of unique MSIS IDs from STEP 3 by the count from STEP 1