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TMSIS Dataguide Medicaid.gov

Version:

4.0.20

RULE-2143

Validation Rule
Last updated

Tier 2.0
Tier Description Relational error
Error Category E2001
Error Category Message Values inconsistently specified (single record type, single record)
Rule Type One Record Type (Single Record)
File Segment Number ELG00005
Data Element Name ELIGIBILITY-DETERMINANTS.SSI-IND
Validation Logic 'if ELIGIBILITY-DETERMINANTS.SSI-STATUS is equal to one of the following: '003', '000' or ELIGIBILITY-DETERMINANTS has a null or invalid value for SSI-STATUS, then ELIGIBILITY-DETERMINANTS.SSI-IND equals '0''
Rule Definition If the eligibility determinants segment has a SSI status equal to '003' or '000' or is not populated, then the SSI indicator is equal to '0'.
Denominator Logic # of ELIGIBILITY-DETERMINANTS segments with ELIGIBILITY-DETERMINANTS in: '003', '000' or with ELIGIBILITY-DETERMINANTS.SSI-STATUS equal to a null or invalid value