Distributed Data Collection (DDC) for RA Including HCRP/EDGE Server FAQ
Guidance for FAQ regarding Edge Server Operations and Policy
Program Area: Distributed Data Collection (DDC) for RA Including HCRP/EDGE Server
Question: Regarding the Enrollment Period Activity Indicator (EPAI) code of '001' for Modification of a Policy: Can issuers use '001' for a dependent member any time there is a premium change?
Answer: The '001' EPAI code is only to be used for the subscriber. With the premium amount changing, it would only affect the subscriber's enrollment period because the premium is reported on the subscriber's record, not the dependent. For additional information, please refer to the EDGE Server Business Rules, Section 5.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: November 25, 2014
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