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TMSIS Dataguide Medicaid.gov
Version 3.27.0

EL-1-012_1-27

Data Quality Measure
Last updated

No Updates

Key Information

Measure Name % of MSIS IDs with AMERICAN-INDIAN-ALASKAN-NATIVE-INDICATOR = 1 but do not have RACE = 003 (American Indian or Alaskan Native)
File Type ELG
Measure ID EL-1-012_1-27
Measure Type Non-Claims Percentage
Content area ELG

Validation

Validation Type Inferential

Measure Priority

Measure Priority High
Focus Area Race/ethnicity
Category Beneficiary demographics

Claim Information

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

Thresholds

Minimum 0
Maximum 0.05
TA Minimun 0
TA Maximum 0.05
Longitudinal Threshold N/A
For TA
(for including in compliance training) 		TA- Inferential
For TA
(Longitudinal) 		No

Data Elements

DD Data Element MSIS-IDENTIFICATION-NUM • AMERICAN-INDIAN-ALASKA-NATIVE-INDICATOR • RACE
DD Data Element Number ELG212 • ELG215 • ELG213

Annotation Calculate the percentage of eligibles with an American Indian / Alaskan Native indicator whose race is not American Indian/Alaskan Native
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: Race information on the last day of DQ report month

Using the MSIS IDs that meet the criteria from STEP 1, join to segment RACE-INFORMATION-ELG00016 by keeping records that satisfy the following criteria:

1a. RACE-DECLARATION-EFF-DATE <= last day of the DQ report month

2a. RACE-DECLARATION-END-DATE >= last day of the DQ report month OR missing

OR

1b. RACE-DECLARATION-EFF-DATE is missing

2b. RACE-DECLARATION-END-DATE is missing



STEP 3: American Indian / Alaskan Native indicator

Of the MSIS IDs that meet the criteria from STEP 2, further refine the population by keeping MSIS IDs where:

1. AMERICAN-INDIAN-ALASKAN-NATIVE-INDICATOR = "1"



STEP 4: Race is American Indian or Alaskan Native

Of the MSIS IDs that meet the criteria from STEP 3, restrict to those where:

1. RACE equals "003" on any record segment



STEP 5: Race is not American Indian or Alaskan Native

Subtract the total number of MSIS IDs that meet the criteria from STEP 3 from the total number of MSIS IDs from STEP 4



STEP 6: Calculate percentage

Divide the count of unique MSIS IDs from STEP 5 by the count of unique MSIS IDs from STEP 3