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TMSIS Dataguide Medicaid.gov
Version 3.36.0

RULE-2068

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 Two Record Type (1 to 1)
File Segment Number ELG00005
Data Element Name VARIABLE-DEMOGRAPHICS-ELIGIBILITY.CHIP-CODE
Validation Logic 'if ELIGIBILITY-DETERMINANTS.CONCEPTION-TO-BIRTH-IND equals '1', then VARIABLE-DEMOGRAPHICS-ELIGIBILITY.CHIP-CODE equals '3''
Rule Definition If conception-to-birth indicator is for conception-to-birth coverage on an eligibility determinants segment from an ELG file, then the CHIP code reported on the corresponding variable demographics eligibility segment must be for S-CHIP.
Denominator Logic # of VARIABLE-DEMOGRAPHICS-ELIGIBILITY segments with VARIABLE-DEMOGRAPHICS-ELIGIBILITY.VARIABLE-DEMOGRAPHIC-ELEMENT-EFF-DATE and VARIABLE-DEMOGRAPHICS-ELIGIBILITY.VARIABLE-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 equal to '1'