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TMSIS Dataguide Medicaid.gov
Version 3.27.0

RULE-2391

Validation Rule
Last updated

No Updates

Tier 2.0
Tier Description Relational error
Error Category E2001
Error Category Message Values inconsistently specified (single record type, single record)
Rule Type One Record Type (Single Record)
File Segment Number ELG00014
Data Element Name MANAGED-CARE-PARTICIPATION.MANAGED-CARE-PLAN-ENROLLMENT-EFF-DATE • MANAGED-CARE-PARTICIPATION.MANAGED-CARE-PLAN-ENROLLMENT-END-DATE
Validation Logic 'if MANAGED-CARE-PARTICIPATION has a valid, non-null value for MANAGED-CARE-PLAN-ENROLLMENT-EFF-DATE and MANAGED-CARE-PARTICIPATION has a valid, non-null value for MANAGED-CARE-PLAN-ENROLLMENT-END-DATE, then MANAGED-CARE-PARTICIPATION.MANAGED-CARE-PLAN-ENROLLMENT-EFF-DATE is less than or equal to MANAGED-CARE-PARTICIPATION.MANAGED-CARE-PLAN-ENROLLMENT-END-DATE'
Rule Definition If managed care plan enrollment effective date and managed care plan enrollment end date are populated on a managed care participation segment from an ELG file, then the managed care plan enrollment effective date value reported must be before or equal to the managed care plan enrollment end date value reported.
Denominator Logic # of MANAGED-CARE-PARTICIPATION segments with MANAGED-CARE-PARTICIPATION.MANAGED-CARE-PLAN-ENROLLMENT-EFF-DATE equal to a valid, non-null value AND with MANAGED-CARE-PARTICIPATION.MANAGED-CARE-PLAN-ENROLLMENT-END-DATE equal to a valid, non-null value