Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: November 14, 2014

Program Area: Distributed Data Collection (DDC) for RA Including HCRP/EDGE Server

Question: The membership that issuers submit through the inbound files, does that include all members, or is that the Affordable Care Act (ACA)-related members only? In other words, it does not include people who are being renewed in grandfathered or transitional release products, correct?

Answer: Only enrollees that are enrolled in a Small Group or Individual Market Plan, whether on or off the Exchange. Plans renewed in grandfathered or transitional products are excluded.

HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov.

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.