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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

RULE-7447

Validation Rule
Last updated

No Updates

Tier 1.1
Tier Description Missing Value Error
Error Category E1105
Error Category Message Data Element Value is Missing
Rule Type One Record Type (Single Record)
File Segment Number ELG00005
Data Element Name ELIGIBILITY-DETERMINANTS.ELIGIBILITY-GROUP
Validation Logic 'if ELIGIBILITY-DETERMINANTS has a non-null value for MSIS-IDENTIFICATION-NUM and ELIGIBILITY-DETERMINANTS.PRIMARY-ELIGIBILITY-GROUP-IND equals '1' and ELIGIBILITY-DETERMINANTS.ELIGIBILITY-DETERMINANT-END-DATE is greater than or equal to '2015-01-01', then ELIGIBILITY-DETERMINANTS has a non-null value for ELIGIBILITY-GROUP'
Rule Definition If a segment is a eligibility determinants segment from an ELG file, and the msis identification number is a non-null value and the eligibility determinants.primary eligibility group indicator is equal to '1' and eligibility determinant end date is greater than or equal to '01/01/2015', then the eligibility determinants has a non-null value for eligibility group.
Denominator Logic # of ELIGIBILITY-DETERMINANTS segments with ELIGIBILITY-DETERMINANTS has a non-null value for MSIS-IDENTIFICATION-NUM and with ELIGIBILITY-DETERMINANTS.PRIMARY-ELIGIBILITY-GROUP-IND equals '1' and with ELIGIBILITY-DETERMINANTS.ELIGIBILITY-DETERMINANT-END-DATE is greater than or equal to '01/01/2015'