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TMSIS Dataguide Medicaid.gov
Version 3.28.0

RULE-7530

Validation Rule
Last updated

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 ELG00004
Data Element Name ELIGIBLE-CONTACT-INFORMATION.ELIGIBLE-STATE • ELIGIBLE-CONTACT-INFORMATION.SUBMITTING-STATE • ELIGIBLE-CONTACT-INFORMATION.ELIGIBLE-COUNTY-CODE • ELIGIBLE-CONTACT-INFORMATION.ELIGIBLE-ZIP-CODE
Validation Logic 'if ELIGIBLE-CONTACT-INFORMATION has a non-null value for MSIS-IDENTIFICATION-NUM and ELIGIBLE-CONTACT-INFORMATION.ELIGIBLE-ADDR-TYPE equals '01', then ELIGIBLE-CONTACT-INFORMATION.ELIGIBLE-STATE equals ELIGIBLE-CONTACT-INFORMATION.SUBMITTING-STATE and ELIGIBLE-CONTACT-INFORMATION has a non-null value for ELIGIBLE-COUNTY-CODE and the concatenation of ELIGIBLE-CONTACT-INFORMATION.SUBMITTING-STATE and ELIGIBLE-CONTACT-INFORMATION.ELIGIBLE-COUNTY-CODE must be contained in the set of valid values with id: 'COUNTY' and (if ELIGIBLE-CONTACT-INFORMATION.ELIGIBLE-ADDR-EFF-DATE is non-null then ELIGIBLE-CONTACT-INFORMATION.ELIGIBLE-ADDR-EFF-DATE >= Valid Values Effective-Date and ELIGIBLE-CONTACT-INFORMATION.ELIGIBLE-ADDR-EFF-DATE <= Valid Values End-Date) and ELIGIBLE-CONTACT-INFORMATION has a non-null value for ELIGIBLE-ZIP-CODE and the concatenation of ELIGIBLE-CONTACT-INFORMATION.SUBMITTING-STATE and substring(ELIGIBLE-CONTACT-INFORMATION.ELIGIBLE-ZIP-CODE, 0, 5) must be contained in the set of valid values with id: 'ZIP-CODE' and (if ELIGIBLE-CONTACT-INFORMATION.ELIGIBLE-ADDR-EFF-DATE is non-null then ELIGIBLE-CONTACT-INFORMATION.ELIGIBLE-ADDR-EFF-DATE >= Valid Values Effective-Date and ELIGIBLE-CONTACT-INFORMATION.ELIGIBLE-ADDR-EFF-DATE <= Valid Values End-Date)'
Rule Definition If the MSIS ID is populated on a eligible contact information segment from an ELG file, and the address type is '01' for primary home address, and eligible state is equal to the submitting state, then the eligible county code and eligible zip code are in the submitting state.
Denominator Logic # of ELIGIBLE-CONTACT-INFORMATION segments with ELIGIBLE-CONTACT-INFORMATION has a non-null value for MSIS-IDENTIFICATION-NUM and with ELIGIBLE-CONTACT-INFORMATION.ADDR-TYPE is equal to '01'