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Distributed Data Collection (DDC) for RA Including HCRP/EDGE Server FAQ

Guidance for FAQ regarding Edge Server Operations and Data Elements

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

Question: When a dependent is added to a subscriber's policy in a reporting period, the Enrollment Period Activity indicator is 021EC. What should the Enrollment Period Activity Indicator display in the next reporting period, if there is no additional changes for that policy (e.g., 021EC or 021028)?

Answer: When a dependent is added to a subscriber's policy in a given reporting period, the dependent is assigned the indicator 021EC. The 021EC indicator code does not change for the dependent throughout the policy year unless some other activity occurred during the year that resulted in a new enrollment period with a new enrollment start date NOTE: Each enrollment period consists of one 'span' of dates. The purpose of the Enrollment Period Activity code is to signify when an enrollment period has changed. Issuers must report all relevant and distinct enrollment periods for each enrollee. If an enrollee has two different date spans for enrollment within a reporting period, then each date span would be reported as a separate enrollment period for that enrollee.

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

Issue Date: November 20, 2013

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