An official website of the United States government

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock () or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

TMSIS Dataguide Medicaid.gov
Version 3.27.0

RULE-7709

Validation Rule
Last updated

Tier 2.1
Tier Description Relational error
Error Category E2102
Error Category Message Values inconsistently specified (multi record, single file)
Rule Type Two Record Type (1 to 1)
File Segment Number ELG00014
Data Element Name MANAGED-CARE-PARTICIPATION.SUBMITTING-STATE • MANAGED-CARE-PARTICIPATION.MANAGED-CARE-PLAN-ENROLLMENT-EFF-DATE • MANAGED-CARE-PARTICIPATION.MANAGED-CARE-PLAN-ENROLLMENT-END-DATE • ENROLLMENT-TIME-SPAN-SEGMENT.ENROLLMENT-EFF-DATE • ENROLLMENT-TIME-SPAN-SEGMENT.ENROLLMENT-END-DATE • FILE-HEADER-RECORD-ELIGIBILITY.END-OF-TIME-PERIOD • MANAGED-CARE-PARTICIPATION.MSIS-IDENTIFICATION-NUM
Validation Logic if MANAGED-CARE-PARTICIPATION has a non-null value for MSIS-IDENTIFICATION-NUM and MANAGED-CARE-PARTICIPATION.MANAGED-CARE-PLAN-ENROLLMENT-END-DATE is greater than or equal to 'cutover date', then for every record of type MANAGED-CARE-PARTICIPATION, there must be a valid record of type ENROLLMENT-TIME-SPAN-SEGMENT that matches on the join keys and (MAX(MANAGED-CARE-PARTICIPATION.MANAGED-CARE-PLAN-ENROLLMENT-EFF-DATE, 'cutover date') >= ENROLLMENT-TIME-SPAN-SEGMENT.ENROLLMENT-EFF-DATE and MANAGED-CARE-PARTICIPATION.MANAGED-CARE-PLAN-ENROLLMENT-END-DATE <= ENROLLMENT-TIME-SPAN-SEGMENT.ENROLLMENT-END-DATE)
Rule Definition If the MSIS ID is populated on a managed care participation ELG file segment and the managed care participation managed care plan enrollment end date is greater than or equal to the states tmsis cutover date then the effective and end dates on the managed care participation segment must fall with the effective and end dates of one or more continuous enrollment time span segments.
Denominator Logic # of MANAGED-CARE-PARTICIPATION segments with MANAGED-CARE-PARTICIPATION has a non-null value for MSIS-IDENTIFICATION-NUM, and with MANAGED-CARE-PARTICIPATION.MANAGED-CARE-PLAN-ENROLLMENT-END-DATE is greater than or equal to 'cutover date'