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TMSIS Dataguide Medicaid.gov

Version:

3.40.0

RULE-7381

Validation Rule
Last updated

Tier 1.1
Tier Description Missing Value Error
Error Category E1105
Error Category Message Data Element Value is Missing
Rule Type Two Record Type (1 to 1)
File Segment Number ELG00003
Data Element Name VARIABLE-DEMOGRAPHICS-ELIGIBILITY.IMMIGRATION-STATUS
Validation Logic 'if VARIABLE-DEMOGRAPHICS-ELIGIBILITY has a non-null value for MSIS-IDENTIFICATION-NUM and ELIGIBILITY-DETERMINANTS.ELIGIBILITY-GROUP does not equal '64', then VARIABLE-DEMOGRAPHICS-ELIGIBILITY has a non-null value for IMMIGRATION-STATUS'
Rule Definition If msis ID is populated on a variable demographics eligibility file and eligibility group is not equal to '64' (Coverage from Conception to Birth), then the immigration status value must be populated.
Denominator Logic # of VARIABLE-DEMOGRAPHICS-ELIGIBILITY segments with VARIABLE-DEMOGRAPHICS-ELIGIBILITY.MSIS-IDENTIFICATION-NUM equal to a non-null value and with ELIGIBILITY-DETERMINANTS.ELIGIBILITY-GROUP is not equal to '64'