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TMSIS Dataguide Medicaid.gov
Version 3.29.0

RULE-2568

Validation Rule
Last updated

Tier 1.1
Tier Description Value Error
Error Category E1103
Error Category Message Value not in specified valid value set
Rule Type Valid Value
File Segment Number MCR00002
Data Element Name MANAGED-CARE-MAIN.MANAGED-CARE-PLAN-TYPE
Validation Logic 'If the MANAGED-CARE-PLAN-TYPE field is populated, the value must be contained in the set of valid values with id: 'MANAGED-CARE-PLAN-TYPE' and (if MANAGED-CARE-MAIN.MANAGED-CARE-MAIN-REC-EFF-DATE is non-null then MANAGED-CARE-MAIN.MANAGED-CARE-MAIN-REC-EFF-DATE >= Valid Values Effective-Date and MANAGED-CARE-MAIN.MANAGED-CARE-MAIN-REC-EFF-DATE <= Valid Values End-Date)'
Rule Definition If managed care plan type is populated on a managed care main segment from an MCR file, then the managed care plan type value reported must be in the list of valid values for managed care plan type.
Denominator Logic # of MANAGED-CARE-MAIN segments with MANAGED-CARE-MAIN.MANAGED-CARE-PLAN-TYPE equal to a valid, non-null value