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Measure Name | % difference between T-MSIS SLMB-only duals count and MMA SLMB-only duals count (Dual Code=03) |
---|---|
File Type | ELG |
Measure ID | EL-15-006-6 |
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 | -0.1 |
---|---|
Maximum | 0.1 |
TA Minimun | -0.1 |
TA Maximum | 0.1 |
Longitudinal Threshold | N/A |
For TA
(for including in compliance training) |
TA- Inferential |
For TA
(Longitudinal) |
No |
DD Data Element | MSIS-IDENTIFICATION-NUM • DUAL-ELIGIBLE-CODE |
---|---|
DD Data Element Number | ELG082 • ELG085 |
Annotation | Calculate the percent difference between the T-MSIS SLMB-only duals count and the MMA SLMB-only duals count |
---|---|
Specification |
STEP 1: MMA SLMB-only count Retrieve the SLMB-only count from the MMA data. This is an external source. More information is available at: https://www.cms.gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid-Coordination/Medicare-Medicaid-Coordination-Office/DataStatisticalResources/StateMMAFile Note: The MMA count is not always available for the T-MSIS DQ analysis month at the time of the measure calculation. In such cases, the DQ team will wait until the MMA data are ready to do the calculation, so that the MMA count and T-MSIS count are for the same month. STEP 2: SLMB-only duals count Use the measure statistic from EL-6-014-14 STEP 3: Difference Subtract the count from STEP 1 from the count of dual eligible beneficiaries from STEP 2 STEP 4: Percentage Divide the difference from STEP 3 by the count in STEP 1 |