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TMSIS Dataguide Medicaid.gov
Version 3.27.0

EL-1-036-43

Data Quality Measure
Last updated

Key Information

Measure Name % of MSIS IDs with Native Hawaiian or Other Pacific Islander race (RACE = 012, 013, 014, 015, 016) where ETHNICITY-CODE is missing, unspecified, or invalid
File Type ELG
Measure ID EL-1-036-43
Measure Type Non-Claims Percentage
Content area ELG

Validation

Validation Type Inferential

Measure Priority

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

Claim Information

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

Thresholds

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

Data Elements

DD Data Element MSIS-IDENTIFICATION-NUM • RACE • ETHNICITY-CODE
DD Data Element Number ELG212ELG213ELG204

Annotation Calculate the percentage of eligibles with a Native Hawaiian or Other Pacific Islander race where ethnicity is missing, unspecified, or invalid
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: Race is Native Hawaiian or Other Pacific Islander

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

1. RACE = “012,” "013," "014," "015," or "016" on any record segment



STEP 4: Ethnicity information on the last day of DQ report month

Using the MSIS IDs that meet the criteria from STEP 3, join to segment ETHNICITY-INFORMATION-ELG00015 by keeping active records that satisfy the following criteria:

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

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

OR

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

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



STEP 5 : MSIS IDs where ethnicity is missing, unspecified, or invalid

Of the MSIS IDs that meet the criteria from STEP 4, further refine the population by keeping MSIS IDs where:

1a. ETHNICITY-CODE is not “0,” “1,” “2,” “3,” “4,” or “5”

OR

1b. ETHNICITY-CODE is missing



STEP 6: Calculate percentage Divide the count of unique MSIS IDs from STEP 5 by the count of unique MSIS IDs from STEP 3