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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

RULE-8469

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 FTX00005
Data Element Name COST-SHARING-OFFSET.FUNDING-CODE
Validation Logic 'If the FUNDING-CODE field is populated, the value must be contained in the set of valid values with id: 'FUNDING-CODE' and (if COST-SHARING-OFFSET.COVERAGE-PERIOD-END-DATE is non-null then COST-SHARING-OFFSET.COVERAGE-PERIOD-END-DATE >= Valid Values Effective-Date and COST-SHARING-OFFSET.COVERAGE-PERIOD-END-DATE <= Valid Values End-Date)'
Rule Definition If the funding code is populated on the Cost Sharing Offset Transaction from a FTX file, then the funding code reported must be found in the list of valid values.
Denominator Logic # of FTX Cost Sharing Offset Transactions with COST-SHARING-OFFSET.FUNDING-CODE equal to a valid, non-null value