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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

RULE-8500

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 FTX00007
Data Element Name STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM.CATEGORY-FOR-FEDERAL-REIMBURSEMENT
Validation Logic 'If the CATEGORY-FOR-FEDERAL-REIMBURSEMENT field is populated, the value must be contained in the set of valid values with id: 'CATEGORY-FOR-FEDERAL-REIMBURSEMENT' and (if STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM.PAYMENT-PERIOD-END-DATE is non-null then STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM.PAYMENT-PERIOD-END-DATE >= Valid Values Effective-Date and STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM.PAYMENT-PERIOD-END-DATE <= Valid Values End-Date)'
Rule Definition If the payment period type is populated on the Value Based Payment Transaction from a FTX file, then the category for federal reimbursement reported must be found in the list of valid values.
Denominator Logic # of FTX Value Based Payment Transactions with STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM.CATEGORY-FOR-FEDERAL-REIMBURSEMENT equal to a valid, non-null value