An official website of the United States government

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock () or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

TMSIS Dataguide Medicaid.gov

Version:

3.40.0

RULE-7810

Validation Rule
Last updated

Tier 2.1
Tier Description Relational error
Error Category E2101
Error Category Message Missing parent record (single file)
Rule Type Two Record Type (1 to 1)
File Segment Number ELG00005
Data Element Name ELIGIBILITY-DETERMINANTS.SUBMITTING-STATE • ELIGIBILITY-DETERMINANTS.MSIS-IDENTIFICATION-NUM • ELIGIBILITY-DETERMINANTS.ELIGIBILITY-DETERMINANT-EFF-DATE • ELIGIBILITY-DETERMINANTS.ELIGIBILITY-DETERMINANT-END-DATE • MFP-INFORMATION.MFP-ENROLLMENT-EFF-DATE • MFP-INFORMATION.MFP-ENROLLMENT-END-DATE • FILE-HEADER-RECORD-ELIGIBILITY.END-OF-TIME-PERIOD • ELIGIBILITY-DETERMINANTS.RESTRICTED-BENEFITS-CODE • ELIGIBILITY-DETERMINANTS.PRIMARY-ELIGIBILITY-GROUP-IND
Validation Logic if ELIGIBILITY-DETERMINANTS.RESTRICTED-BENEFITS-CODE equals 'D' and ELIGIBILITY-DETERMINANTS.PRIMARY-ELIGIBILITY-GROUP-IND equals '1' and ELIGIBILITY-DETERMINANTS.ELIGIBILITY-DETERMINANT-END-DATE is greater than or equal to 'cutover date', then for every record of type ELIGIBILITY-DETERMINANTS, there must be a valid record of type MFP-INFORMATION that matches on the join keys and (MAX(ELIGIBILITY-DETERMINANTS.ELIGIBILITY-DETERMINANT-EFF-DATE, null) >= MFP-INFORMATION.MFP-ENROLLMENT-EFF-DATE and ELIGIBILITY-DETERMINANTS.ELIGIBILITY-DETERMINANT-END-DATE <= MFP-INFORMATION.MFP-ENROLLMENT-END-DATE)
Rule Definition If restricted benefits code is for Money Follows the Person (MFP) on an eligibility determinants segment from an ELG file, and the primary eligibility group indicator is equal to '1' and the eligibility determinants end date is greater than or equal to the T-MSIS cutover date, then the effective date and end date on the eligibility determinants segment must fall within the effective and end dates of one or more continuous mfp information segments.
Denominator Logic # of ELIGIBILITY-DETERMINANTS segments with ELIGIBILITY-DETERMINANTS.RESTRICTED-BENEFITS-CODE is equal to 'D' and with ELIGIBILITY-DETERMINANTS.PRIMARY-ELIGIBILITY-GROUP-IND is equal to '1' and with ELIGIBILITY-DETERMINANTS.ELIGIBILITY-DETERMINANT-END-DATE is greater than or equal to 'cutover date'