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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

RULE-2258

Validation Rule
Last updated

No Updates

Tier 3.0
Tier Description Relational error
Error Category E3002
Error Category Message Values inconsistently specified (multiple record types, multi file)
Rule Type Two Record Type (1 to 1)
File Segment Number ELG00009
Data Element Name LOCK-IN-INFORMATION.SUBMITTING-STATE • LOCK-IN-INFORMATION.LOCKIN-PROV-NUM • LOCK-IN-INFORMATION.LOCKIN-EFF-DATE • LOCK-IN-INFORMATION.LOCKIN-END-DATE • PROV-IDENTIFIERS.PROV-IDENTIFIER-EFF-DATE • PROV-IDENTIFIERS.PROV-IDENTIFIER-END-DATE • FILE-HEADER-RECORD-ELIGIBILITY.END-OF-TIME-PERIOD
Validation Logic if LOCK-IN-INFORMATION has a non-null value for LOCKIN-PROV-NUM and LOCK-IN-INFORMATION.LOCKIN-END-DATE is greater than or equal to 'cutover date', then for every record of type LOCK-IN-INFORMATION, there must be a valid record of type PROV-IDENTIFIERS that matches on the join keys and (MAX(LOCK-IN-INFORMATION.LOCKIN-EFF-DATE, 'cutover date') >= PROV-IDENTIFIERS.PROV-IDENTIFIER-EFF-DATE and LOCK-IN-INFORMATION.LOCKIN-END-DATE <= PROV-IDENTIFIERS.PROV-IDENTIFIER-END-DATE)
Rule Definition If the lock-in provider number is populated on a lock-in information ELG file segment and the lock-in information lockin end date is greater than the states tmsis cutover date then the effective and end dates on the lock-in information segment must fall with the effective and end dates of one or more continuous provider identifiers segments.
Denominator Logic # of LOCK-IN-INFORMATION segments with LOCK-IN-INFORMATION has a non-null value for LOCKIN-PROV-NUM and with LOCK-IN-INFORMATION.LOCKIN-END-DATE is greater than or equal to 'cutover date'