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TMSIS Dataguide Medicaid.gov
Version 3.28.0

RULE-2016

Validation Rule
Last updated

No Updates

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
File Segment Number ELG00002
Data Element Name PRIMARY-DEMOGRAPHICS-ELIGIBILITY.DATE-OF-BIRTH • FILE-HEADER-RECORD-ELIGIBILITY.END-OF-TIME-PERIOD
Validation Logic 'if ELIGIBILITY-DETERMINANTS.CONCEPTION-TO-BIRTH-IND does not equal '1' and ELIGIBILITY-DETERMINANTS.ELIGIBILITY-GROUP does not equal '64', then PRIMARY-DEMOGRAPHICS-ELIGIBILITY.DATE-OF-BIRTH is less than or equal to FILE-HEADER-RECORD-ELIGIBILITY.END-OF-TIME-PERIOD'
Rule Definition If conception-to-birth indicator is not for conception-to-birth coverage and the eligibility group is not for conception-to-birth coverage on an eligibility determinants segment from an ELG file, then the date of birth reported on the corresponding primary demographics segment must be before or equal to the end of time period value reported.
Denominator Logic # of PRIMARY-DEMOGRAPHICS-ELIGIBILITY segments with PRIMARY-DEMOGRAPHICS-ELIGIBILITY.DATE-OF-BIRTH equal to a valid, non-null value AND with PRIMARY-DEMOGRAPHICS-ELIGIBILITY.PRIMARY-DEMOGRAPHIC-ELEMENT-EFF-DATE and PRIMARY-DEMOGRAPHIC-ELIGIBILITY.PRIMARY-DEMOGRAPHIC-ELEMENT-END-DATE that overlap ELIGIBILITY-DETERMINANTS.ELIGIBILITY-DETERMINANT-EFF-DATE and ELIGIBILITY-DETERMINANTS.ELIGIBILITY-DETERMINANT-END-DATE AND with ELIGIBILITY-DETERMINANTS.CONCEPTION-TO-BIRTH-IND not equal to '1' AND with ELIGIBILITY-DETERMINANTS.ELIGIBILITY-GROUP not equal to '64'