EL-S-003-3

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TMSIS Dataguide

Medicaid.gov

Version 3.27.0

EL-S-003-3

Data Quality Measure

Last updated

Key Information

Measure Name	Total # of MSIS IDs in CHIP (CHIP-CODE = 2 + CHIP-CODE = 3)
File Type	ELG
Measure ID	EL-S-003-3
Measure Type	Count
Content area	ELG

Validation

Validation Type	Longitudinal

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	0.1
For TA (for including in compliance training)	No
For TA (Longitudinal)	No

Data Elements

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

Annotation

Count the total number of eligible MSIS IDs that are classified as 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-DEMOGRAPHICS-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: CHIP

Of the MSIS IDs which meet the criteria from STEP 2, restrict to:

1. CHIP-CODE = "2" or "3"

STEP 4: Count unique MSIS IDs

Count the number of unique MSIS IDs from STEP 3

Published Date	Data Guide Version	DQM	Action	Field	Before	After
01/27/2023	3.2.0	EL-S-003-3	UPDATE	Specification	STEP 1: Enrolled on the last day of DQ report monthDefine 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 missing3. MSIS-IDENTIFICATION-NUM is not missingSTEP 2: Race information on the last day of DQ report monthUsing the MSIS IDs that meet the criteria from STEP 1, join to segment RACE-INFORMATION-ELG00016 by keeping active records that satisfy the following criteria:1a. RACE-DECLARATION-EFF-DATE <= last day of the DQ report month2a. RACE-DECLARATION-END-DATE >= last day of the DQ report month OR missingOR1b. RACE-DECLARATION-EFF-DATE is missing2b. RACE-DECLARATION-END-DATE is missingSTEP 3: Non-missing raceOf the MSIS IDs that meet the criteria from STEP 2, further refine the population by keeping records with: 1. RACE is non-missingSTEP 4: Percent race for the current month1. For each distinct value of race, set the number of unique MSIS IDs as Numerator_Count_By_Value. 2. Set the total number of unique MSIS IDs across all valid values of race as Denominator_Count. Note that Denominator_Count should also equal to the count of MSIS IDs from STEP 3. 3. For each distinct value of race, calculate Percent_Current_Month as the ratio of Numerator_Count_By_Value over Denominator_Count. STEP 5: Percent race for the previous monthRepeat STEP 1 through STEP 4 for the previous month. For each distinct value of race, set the percent of race for the previous month as Percent_Prior_Month_1.	STEP 1: Enrolled on the last day of DQ report monthDefine 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 month2. ENROLLMENT-END-DATE >= last day of the DQ report month OR missing3. MSIS-IDENTIFICATION-NUM is not missingSTEP 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-DEMOGRAPHICS-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: CHIPOf the MSIS IDs which meet the criteria from STEP 2, restrict to:1. CHIP-CODE = "2" or "3"STEP 4: Count unique MSIS IDsCount the number of unique MSIS IDs from STEP 3