EL-1-025-31

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Measure Name	% of MSIS IDs where county code or zip code does not align with address state and is not missing
File Type	ELG
Measure ID	EL-1-025-31
Measure Type	Non-Claims Percentage
Content area	ELG

Validation Type	Inferential

Measure Priority	N/A
Focus Area	N/A
Category	N/A

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

Minimum	0
Maximum	0.001
TA Minimun
TA Maximum
Longitudinal Threshold	N/A
For TA (for including in compliance training)	No
For TA (Longitudinal)	No

DD Data Element	MSIS-IDENTIFICATION-NUM • ELIGIBLE-STATE • ELIGIBLE-COUNTY-CODE • ELIGIBLE-ZIP-CODE
DD Data Element Number	ELG064 • ELG070 • ELG072 • ELG071

Annotation	N/A
Specification	N/A

Published Date	Data Guide Version	DQM	Action	Field	Before	After
03/27/2024	3.22.0	EL-1-025-31	UPDATE	Priority	High	N/A
03/27/2024	3.22.0	EL-1-025-31	UPDATE	Category	Beneficiary demographics	N/A
03/27/2024	3.22.0	EL-1-025-31	UPDATE	For ta comprehensive	TA- Inferential	No
03/27/2024	3.22.0	EL-1-025-31	UPDATE	For ta inferential	Yes	No
03/27/2024	3.22.0	EL-1-025-31	UPDATE	Ta min	0
03/27/2024	3.22.0	EL-1-025-31	UPDATE	Ta max	0.001
03/27/2024	3.22.0	EL-1-025-31	UPDATE	Annotation	Calculate the percentage of eligibles where any address county code or zip code is not in address state and is not missing	N/A
03/27/2024	3.22.0	EL-1-025-31	UPDATE	Specification	STEP 1: Enrolled on the last day of DQ report monthDefine 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 missing3. MSIS-IDENTIFICATION-NUM is not missingSTEP 2: Eligible contact on the last day of the DQ report monthUsing the MSIS IDs that meet the criteria from STEP 1, join to segment ELIGIBLE-CONTACT-INFORMATION-ELG00004 by keeping records that satisfy the following criteria:1a. ELIGIBLE-ADDR-EFF-DATE<= last day of the DQ report month2a. ELIGIBLE-ADDR-END-DATE >= last day of the DQ report month OR missingOR1b. ELIGIBLE-ADDR-EFF-DATE is missing2b. ELIGIBLE-ADDR-END-DATE is missingSTEP 3: Eligible county code or zip code does not align with eligible state and is not missingOf the records that meet the criteria from STEP 2, restrict to segments where:1a. ELIGIBILE-COUNTY-CODE is not missing2a. ELIGIBLE-COUNTY-CODE is not in ELIGIBLE-STATE OR2a. ELIGIBLE-ZIP-CODE is not missing2b. ELIGIBLE-ZIP-CODE is not in ELIGIBLE-STATESTEP 4: Calculate percentageDivide the count of unique MSIS IDs from STEP 3 by the count of unique MSIS IDs from STEP 2	N/A
03/10/2023	3.4.0	EL-1-025-31	UPDATE	Ta max	0.01	0.001
03/10/2023	3.4.0	EL-1-025-31	UPDATE	Threshold maximum	0.01	0.001

EL-1-025-31

Key Information

Validation

Measure Priority

Claim Information

Thresholds

Data Elements