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TMSIS Dataguide Medicaid.gov

Version:

3.40.0

RULE-9546

Validation Rule
Last updated

Tier 2.1
Tier Description Relational error
Error Category E2102
Error Category Message Values inconsistently specified (multi record, single file)
Rule Type Three Record Type Rule
Grace Period Expiration 04/30/2027
File Segment Number ELG00003
Data Element Name VARIABLE-DEMOGRAPHICS-ELIGIBILITY.SSN
Validation Logic 'if VARIABLE-DEMOGRAPHICS-ELIGIBILITY.IMMIGRATION-STATUS equals '4' and the difference between dates FILE-HEADER-RECORD-ELIGIBILITY.END-OF-TIME-PERIOD and PRIMARY-DEMOGRAPHICS-ELIGIBILITY.DATE-OF-BIRTH is greater than 1 years, then VARIABLE-DEMOGRAPHICS-ELIGIBILITY has a non-null value for SSN'
Rule Definition If a Variable Demographics Eligibility segment has an Immigration Status indicating Eligible Noncitizen and the beneficiary's age is greater than 1 year, then SSN must have a null value on the Variable Demographics Eligibility
Denominator Logic # of VARIABLE-DEMOGRAPHICS-ELIGIBILITY segments with VARIABLE-DEMOGRAPHICS-ELIGIBILITY.IMMIGRATION-STATUS equal to: '8' and with the difference between dates FILE-HEADER-RECORD-ELIGIBILITY.END-OF-TIME-PERIOD and PRIMARY-DEMOGRAPHICS-ELIGIBILITY.DATE-OF-BIRTH is greater than 1 year