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TMSIS Dataguide Medicaid.gov

Version:

4.0.20

RULE-2122

Validation Rule
Last updated

Tier 1.1
Tier Description Value Error
Error Category E1103
Error Category Message Value not in specified valid value set
Rule Type Valid Value
File Segment Number ELG00005
Data Element Name ELIGIBILITY-DETERMINANTS.MEDICAID-BASIS-OF-ELIGIBILITY
Validation Logic 'If the MEDICAID-BASIS-OF-ELIGIBILITY field is populated, the value must be contained in the set of valid values with id: 'MEDICAID-BASIS-OF-ELIGIBILITY' and (if ELIGIBILITY-DETERMINANTS.ELIGIBILITY-DETERMINANT-EFF-DATE is non-null then ELIGIBILITY-DETERMINANTS.ELIGIBILITY-DETERMINANT-EFF-DATE >= Valid Values Effective-Date and ELIGIBILITY-DETERMINANTS.ELIGIBILITY-DETERMINANT-EFF-DATE <= Valid Values End-Date)'
Rule Definition If the medicaid basis of eligibilty is populated on a eligibility determinants file, then the medicaid basis of eligibilty reported must be found in the list of valid values.
Denominator Logic # of ELIGIBILITY-DETERMINANTS segments with ELIGIBILITY-DETERMINANTS.MEDICAID-BASIS-OF-ELIGIBILITY equal to a valid, non-null value