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Measure Name | % of MSIS IDs with a valid immigration status whose enrollment in Medicaid is pending immigration verification |
---|---|
File Type | ELG |
Measure ID | EL-1-015-14 |
Measure Type | Non-Claims Percentage |
Content area | ELG |
Validation Type | Longitudinal and inferential |
---|
Measure Priority | Medium |
---|---|
Focus Area | N/A |
Category | Beneficiary demographics |
Claim Type | N/A |
---|---|
Adjustment Type | N/A |
Crossover Type | N/A |
Minimum | 0 |
---|---|
Maximum | 0.2 |
TA Minimun | 0 |
TA Maximum | 0.2 |
Longitudinal Threshold | TBD |
For TA
(for including in compliance training) |
TA- Inferential |
For TA
(Longitudinal) |
No |
DD Data Element | MSIS-IDENTIFICATION-NUM • IMMIGRATION-STATUS • IMMIGRATION-VERIFICATION-FLAG |
---|---|
DD Data Element Number | ELG033 • ELG042 • ELG043 |
Annotation | Calculate the percentage of eligibles with a non-citizen immigration status whose immigration verification is pending |
---|---|
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: Immigration status Of the MSIS IDs that meet the criteria from STEP 2, restrict to those with an immigration status: 1. IMMIGRATION-STATUS = "1" or "2" or "3" STEP 4: Enrollment in Medicaid is pending immigration verification Of the MSIS IDs that meet the criteria from STEP 3, restrict to those pending immigration verification: 1. IMMIGRATION-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 |