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TMSIS Dataguide Medicaid.gov
Version 3.36.0

RULE-2157

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.CITIZENSHIP-IND
Validation Logic 'if ELIGIBILITY-DETERMINANTS.RESTRICTED-BENEFITS-CODE equals '2' and ELIGIBILITY-DETERMINANTS.PRIMARY-ELIGIBILITY-GROUP-IND equals '1', then VARIABLE-DEMOGRAPHICS-ELIGIBILITY.CITIZENSHIP-IND is not equal to one of the following: '1', '2''
Rule Definition If restricted benefits code is for restricted benefits based on noncitizen status on an eligibility determinants segment from an ELG file, then the citizenship indicator reported on the corresponding eligibility determinants segment must be for a noncitizen.
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.RESTRICTED-BENEFITS-CODE equal to '2' and with ELIGIBILITY-DETERMINANTS.PRIMARY-ELIGIBILITY-GROUP-IND is equal to '1'