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TMSIS Dataguide Medicaid.gov
Version 3.36.0

RULE-2614

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 MCR00003
Data Element Name MANAGED-CARE-LOCATION-AND-CONTACT-INFO.MANAGED-CARE-STATE
Validation Logic 'If the MANAGED-CARE-STATE field is populated, the value must be contained in the set of valid values with id: 'STATE' and (if MANAGED-CARE-LOCATION-AND-CONTACT-INFO.MANAGED-CARE-LOCATION-AND-CONTACT-INFO-EFF-DATE is non-null then MANAGED-CARE-LOCATION-AND-CONTACT-INFO.MANAGED-CARE-LOCATION-AND-CONTACT-INFO-EFF-DATE >= Valid Values Effective-Date and MANAGED-CARE-LOCATION-AND-CONTACT-INFO.MANAGED-CARE-LOCATION-AND-CONTACT-INFO-EFF-DATE <= Valid Values End-Date)'
Rule Definition If the managed care state is populated on a managed care location and contact information file, then the managed care state reported must be found in the list of valid values.
Denominator Logic # of MANAGED-CARE-LOCATION-AND-CONTACT-INFO segments with MANAGED-CARE-LOCATION-AND-CONTACT-INFO.STATE equal to a valid, non-null value