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TMSIS Dataguide Medicaid.gov

Version:

4.0.20

RULE-2144

Validation Rule
Last updated

Tier 1.1
Tier Description Value Error
Error Category E1104
Error Category Message Value not valid for state-supplied format (format or valid values)
Rule Type Valid Value
File Segment Number ELG00005
Data Element Name ELIGIBILITY-DETERMINANTS.STATE-SPEC-ELIG-GROUP
Validation Logic 'If the STATE-SPEC-ELIG-GROUP field is populated, the value must be contained in the set of valid values with id: 'STATE-SPEC-ELIG-GROUP' 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 state specific eligibility group is populated on a eligibility determinants file, then the state specific eligibility group reported must be found in the list of valid values.
Denominator Logic # of ELIGIBILITY-DETERMINANTS segments with ELIGIBILITY-DETERMINANTS.STATE-SPEC-ELIG-GROUP equal to a valid, non-null value