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: In the data element field, Enrollment Period Activity in the Enrollment file, will removal of a member be categorized as 001 Modification of Existing Policy or 021EC Addition of Member to an Existing Plan?
Answer: If an enrollee is enrolled for any period of time and is then terminated, the enrollee must continue to be submitted on the enrollment file with an enrollment period that reflects the actual start and end dates of enrollment. Upon termination, the enrollment period must be submitted with the actual date of termination and with no change to the original activity indicator. The enrollment activity indicator shows the reason for the start of the enrollment period and is never impacted by a later termination.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: November 20, 2013
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