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Measure Name | % of MSIS IDs with CITIZENSHIP-IND = 1 (U.S. Citizen) whose enrollment in Medicaid is pending citizenship verification |
---|---|
File Type | ELG |
Measure ID | EL-1-014-32 |
Measure Type | Non-Claims Percentage |
Content area | ELG |
Validation Type | Inferential |
---|
Measure Priority | Medium |
---|---|
Focus Area | N/A |
Category | Beneficiary eligibility |
Claim Type | N/A |
---|---|
Adjustment Type | N/A |
Crossover Type | N/A |
Minimum | 0 |
---|---|
Maximum | 0.5 |
TA Minimun | 0 |
TA Maximum | 0.5 |
Longitudinal Threshold | N/A |
For TA
(for including in compliance training) |
TA- Inferential |
For TA
(Longitudinal) |
No |
DD Data Element | MSIS-IDENTIFICATION-NUM • CITIZENSHIP-IND • CITIZENSHIP-VERIFICATION-FLAG |
---|---|
DD Data Element Number | ELG033 • ELG040 • ELG041 |
Annotation | Calculate the percentage of eligibles with a citizen status whose Medicaid enrollment is pending citizenship verification |
---|---|
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: Variable demographics on the last day of DQ report month Using the MSIS IDs that meet the criteria from STEP 1, join to segment VARIABLE-DEMOGRAPHIC-ELG00003 by keeping records that satisfy the following criteria: 1a. VARIABLE-DEMOGRAPHIC-ELEMENT-EFF-DATE <= last day of the DQ report month 2a. VARIABLE-DEMOGRAPHIC-ELEMENT-END-DATE >= last day of the DQ report month OR missing OR 1b. VARIABLE-DEMOGRAPHIC-ELEMENT-EFF-DATE is missing 2b. VARIABLE-DEMOGRAPHIC-ELEMENT-END-DATE is missing STEP 3: U.S. citizen Of the MSIS IDs that meet the criteria from STEP 2, further refine the population by keeping MSIS IDs where: 1. CITIZENSHIP-IND = "1" STEP 4: Enrollment in Medicaid is pending citizenship verification Of the MSIS IDs that meet the criteria from STEP 3, restrict to those pending citizenship verification: 1. CITIZENSHIP-VERIFICATION-FLAG = "1" STEP 5: Calculate percentage Divide the count of unique MSIS IDs from STEP 4 by the count of unique MSIS IDs from STEP 3 |