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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

RULE-2495

Validation Rule
Last updated

No Updates

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 ELG00020
Data Element Name HCBS-CHRONIC-CONDITIONS-NON-HEALTH-HOME.HCBS-CHRONIC-CONDITION-NON-HEALTH-HOME-CODE
Validation Logic 'If the HCBS-CHRONIC-CONDITION-NON-HEALTH-HOME-CODE field is populated, the value must be contained in the set of valid values with id: 'HCBS-CHRONIC-CONDITION-NON-HEALTH-HOME-CODE' and (if HCBS-CHRONIC-CONDITIONS-NON-HEALTH-HOME.HCBS-CHRONIC-CONDITION-NON-HEALTH-HOME-EFF-DATE is non-null then HCBS-CHRONIC-CONDITIONS-NON-HEALTH-HOME.HCBS-CHRONIC-CONDITION-NON-HEALTH-HOME-EFF-DATE >= Valid Values Effective-Date and HCBS-CHRONIC-CONDITIONS-NON-HEALTH-HOME.HCBS-CHRONIC-CONDITION-NON-HEALTH-HOME-EFF-DATE <= Valid Values End-Date)'
Rule Definition If the HCBS chronic condition non-health home code is populated on a HCBS chronic conditions non-health home file, then the submitting state reported must be found in the list of valid values.
Denominator Logic # of HCBS-CHRONIC-CONDITIONS-NON-HEALTH-HOME segments with HCBS-CHRONIC-CONDITIONS-NON-HEALTH-HOME.HCBS-CHRONIC-CONDITION-NON-HEALTH-HOME-CODE equal to a valid, non-null value