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TMSIS Dataguide Medicaid.gov
Version 3.27.0

RULE-7420

Data Quality Measure
Last updated

Key Information

Measure Name % of segments (RESTRICTED-BENEFITS-CODE = 3) without a partial dual code (DUAL-ELIGIBLE-CODE not 01, 03, 05, 06)
File Type ELG
Measure ID RULE-7420
Measure Type Non-Claims Percentage
Content area ELG

Validation

Validation Type Inferential

Measure Priority

Measure Priority High
Focus Area N/A
Category Beneficiary eligibility

Claim Information

Claim Type N/A
Adjustment Type N/A
Crossover Type N/A

Thresholds

Minimum 0
Maximum 0.01
TA Minimun 0
TA Maximum 0.01
Longitudinal Threshold N/A
For TA
(for including in compliance training) 		TA- Inferential
For TA
(Longitudinal) 		No

Data Elements

DD Data Element DUAL-ELIGIBLE-CODE • RESTRICTED-BENEFITS-CODE
DD Data Element Number ELG085 • ELG097

Annotation N/A
Specification RULE-7420