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TMSIS Dataguide Medicaid.gov
Version 3.27.0

EL-4-001-1

Data Quality Measure
Last updated

No Updates

Key Information

Measure Name Enrollment Type values where CHIP-CODE = 2 (M-CHIP)
File Type ELG
Measure ID EL-4-001-1
Measure Type Frequency
Content area ELG

Validation

Validation Type Frequency

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 ENROLLMENT-TYPE • CHIP-CODE
DD Data Element Number ELG252 • ELG054

Annotation Calculate a frequency of enrollment type for M-CHIP enrollees
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 active 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: M-CHIP

Of the MSIS IDs that meet the criteria from STEP 2, further refine the population by keeping records that satisfy the following criteria:

1. CHIP-CODE = "2"



STEP 4: Frequency

Count the number of unique MSIS IDs from STEP 3 for:

1. (1,2,9) Each valid value: ENROLLMENT-TYPE = ("1", "2", "9", respectively)

2. (A) Any valid value: ENROLLMENT-TYPE = ("1" or "2" or "9")

3. (N) No valid value: ENROLLMENT-TYPE (NOT ("1" or "2" or "9") or missing

4. (T) total: ENROLLMENT-TYPE = (any missing or non-missing value)