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TMSIS Dataguide Medicaid.gov
Version 3.27.0

RULE-3078

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 TPL00003
Data Element Name TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO.SUBMITTING-STATE
Validation Logic 'If the SUBMITTING-STATE field is populated, the value must be contained in the set of valid values with id: 'STATE' and (if TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO.INSURANCE-COVERAGE-EFF-DATE is non-null then TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO.INSURANCE-COVERAGE-EFF-DATE >= Valid Values Effective-Date and TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO.INSURANCE-COVERAGE-EFF-DATE <= Valid Values End-Date)'
Rule Definition If the submitting state is populated on a TPL medicaid eligible person health insurance coverage information file, then the submitting state reported must be found in the list of valid values.
Denominator Logic # of TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO segments with TPL-MEDICAID-ELIGIBLE-PERSON-HEALTH-INSURANCE-COVERAGE-INFO.STATE equal to a valid, non-null value