Enrollment and Eligibility (ENR) FAQ
Guidance for FAQ regarding Identifiers and Use in Transactions
Program Area: Enrollment and Eligibility (ENR)
Question: How is the relationship code for "ward" to be used to designate dependent and/or disabled status?
Answer: Qualified individuals will select the term "ward" to designate a dependent and/or disabled relationship (within the family) when completing the eligibility application. When selected, this relationship code will be sent to the Qualified Health Plan (QHP) on the ASC X12 834 enrollment transaction. Note: CMS requested that QHP issuers add "ward" as an eligible dependent in their business rules to reflect the Federally-facilitated Marketplace (FFM) definition of disabled dependent.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: September 19, 2013
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