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Enrollment and Eligibility (ENR) FAQ

Guidance for FAQ regarding Premium Payment and Premium Payment Re-Direct

Program Area: Enrollment and Eligibility (ENR)

Question: Are there documents that provide examples of specific actions that will or will not trigger the payment redirect process?

Answer: Yes. The most current Payment Redirect Business Service Description (BSD), published in June 2013, provides several examples of triggers for the premium payment redirect process. You may find the BSD on the zONE, the collaboration site for technical documents (https://zone.cms.gov/). A copy is also available on the public facing site REGTAP, www. REGTAP.info.

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

Issue Date: September 09, 2013

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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.