Key Information

Measure Name	# of MSIS IDs in M-CHIP (CHIP-CODE = 2)
File Type	ELG
Measure ID	EL-5-002-1
Measure Type	Count
Content area	ELG

Validation

Validation Type	Longitudinal

Measure Priority

Measure Priority	Medium
Focus Area	N/A
Category	Beneficiary eligibility

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	0.15
For TA (for including in compliance training)	TA- Longitudinal
For TA (Longitudinal)	Yes

Data Elements

DD Data Element	MSIS-IDENTIFICATION-NUM • CHIP-CODE
DD Data Element Number	ELG033 • ELG054

Annotation

Count the number of unique MSIS IDs that are classified as M-CHIP

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 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 which meet the criteria from STEP 2, restrict to: 1. CHIP-CODE = "2" STEP 4: Count unique MSIS IDs Count the number of unique MSIS IDs from STEP 3