EL-17-002-2

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Measure Name	% of MSIS IDs reported on ENROLLMENT-TIME-SPAN-SEGMENT-ELG00021 that are not found on VARIABLE-DEMOGRAPHICS-ELIGIBILITY-ELG00003 for the same month
File Type	ELG
Measure ID	EL-17-002-2
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 • MSIS-IDENTIFICATION-NUM
DD Data Element Number	ELG251 • ELG033

Annotation	N/A
Specification	N/A

Published Date	Data Guide Version	DQM	Action	Field	Before	After
04/21/2023	3.6.0	EL-17-002-2	UPDATE	Priority	Critical	N/A
04/21/2023	3.6.0	EL-17-002-2	UPDATE	Category	File integrity	N/A
04/21/2023	3.6.0	EL-17-002-2	UPDATE	For ta comprehensive	TA- Inferential	No
04/21/2023	3.6.0	EL-17-002-2	UPDATE	For ta inferential	Yes	No
04/21/2023	3.6.0	EL-17-002-2	UPDATE	Ta min	0
04/21/2023	3.6.0	EL-17-002-2	UPDATE	Ta max	0.001
04/21/2023	3.6.0	EL-17-002-2	UPDATE	Annotation	Calculate the percentage of eligibles on the enrollment time span segment who are not present on the variable demographics segment in the same month	N/A
04/21/2023	3.6.0	EL-17-002-2	UPDATE	Specification	STEP 1: Enrolled on the last day of DQ report monthDefine the eligible population using segment ENROLLMENT-TIME-SPAN-ELG00021 by keeping active records that satisfy the following criteria:1. ENROLLMENT-EFF-DATE <= last day of the DQ report month2. ENROLLMENT-END-DATE >= last day of the DQ report month OR missing3. MSIS-IDENTIFICATION-NUM is not missing.STEP 2: Variable demographics on the last day of DQ report monthUsing 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 month2a. VARIABLE-DEMOGRAPHIC-ELEMENT-END-DATE >= last day of the DQ report month OR missingOR1b. VARIABLE-DEMOGRAPHIC-ELEMENT-EFF-DATE is missing2b. VARIABLE-DEMOGRAPHIC-ELEMENT-END-DATE is missingSTEP 3: Do not link to variable demographicsRefine the population to MSIS IDs on the enrollment time span segment from STEP 1 that could NOT be linked to a variable demographics segment from STEP 2STEP 4: Calculate percentageDivide the count of unique MSIS IDs from STEP 3 by the count of unique MSIS IDs from STEP 1	N/A

EL-17-002-2

Key Information

Validation

Measure Priority

Claim Information

Thresholds

Data Elements