Key Information

Measure Name	% of MSIS IDs with any enrollment time span
File Type	Multiple Files
Measure ID	TPL-1-005-5
Measure Type	Non-claims percentage
Content area	TPL TPL

Validation

Validation Type	Inferential

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	0.6
Maximum	1
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	MSIS-IDENTIFICATION-NUM • MSIS-IDENTIFICATION-NUM
DD Data Element Number	TPL019 • ELG251

Annotation

The percentage of MSIS IDs in the TPL file that can be found on any Eligible file enrollment time span segment

Specification

STEP 1: TPL any time Define the TPL population from segment TPL-MEDICAID-ELIGIBLE-PERSON-MAIN-TPL00002 by keeping active records that satisfy the following criteria: 1. MSIS-IDENTIFICATION-NUM is not missing STEP 2: Unique MSIS-IDs in TPL Of the records that meet the criteria from STEP 1, limit to unique MSIS-IDs STEP 3: Enrolled any time Define the eligible population from segment ENROLLMENT-TIME-SPAN-ELG00021 by keeping active records that satisfy the following criteria: 1. MSIS-IDENTIFICATION-NUM is not missing STEP 4: Unique MSIS-IDs from Eligible file Of the records that meet the criteria from STEP 3, limit to unique MSIS-IDs STEP 5: Link MSIS-IDs across files Count the number of MSIS-IDs from STEP 2 that are also in STEP 4 STEP 6: Calculate percentage Divide the count of MSIS-IDs from STEP 5 by the count of MSIS-IDs from STEP 2