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| Published Date | Data Guide Version | DQM | Action | Field | Before | After |
|---|---|---|---|---|---|---|
| 06/19/2024 | 3.27.0 | MIS-23-007-7 | UPDATE | Priority | High | N/A |
| 06/19/2024 | 3.27.0 | MIS-23-007-7 | UPDATE | Category | Provider information | N/A |
| 06/19/2024 | 3.27.0 | MIS-23-007-7 | UPDATE | For ta comprehensive | TA- Inferential | No |
| 06/19/2024 | 3.27.0 | MIS-23-007-7 | UPDATE | For ta inferential | Yes | No |
| 06/19/2024 | 3.27.0 | MIS-23-007-7 | UPDATE | Ta min | 0 | |
| 06/19/2024 | 3.27.0 | MIS-23-007-7 | UPDATE | Ta max | 0.02 | |
| 06/19/2024 | 3.27.0 | MIS-23-007-7 | UPDATE | Annotation | Character | N/A |
| 06/19/2024 | 3.27.0 | MIS-23-007-7 | UPDATE | Specification | STEP 1: Active non-duplicate LT claims during DQ report monthDefine the LT claims universe at the header level that satisfy the following criteria:1. Reporting Period from the filename = DQ report month2. CLAIM-STATUS-CATEGORY is not equal to "F2" or is missing3. CLAIM-DENIED-INDICATOR is not equal to "0" or is missing4. TYPE-OF-CLAIM is not equal to "Z" or is missing5. CLAIM-STATUS is not equal to ("26","026","87","087","542","585", "654") or is missing6. No Header Duplicates: Duplicates are dropped at the header level, if the following four data elements are the same: ICN-ORIG, ICN-ADJ, ADJUDICATION-DATE, and ADJUSTMENT-IND.STEP 2: Medicaid or S-CHIP FFS or Encounter: Original and Replacement, Paid ClaimsOf the claims that meet the criteria from STEP 1, further restrict them by the following criteria:1. TYPE-OF-CLAIM = "1" or "A" 2. ADJUSTMENT-IND = "0" or "4"STEP 3: Missing data elementOf the claims that meet the criteria from STEP 2, select those whereFor alphanumeric data elements:1. [DATA-ELEMENT-NAME] does not contain any alpha character (A-Z or a-z) OR any digit 1-9For numeric data elements: 1. [DATA-ELEMENT-NAME] does not contain any digit 1-9STEP 4: Calculate percentageDivide the count of claims from STEP 3 by the count of claims from STEP 2 | N/A |
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