Enrollment and Eligibility (ENR) FAQ
Guidance for FAQ regarding Eligibility and Special Enrollment Period (SEP)
Program Area: Enrollment and Eligibility (ENR)
Question: What is the format of the Health Insurance Casework System (HICS) record for these members? What information will be included? Will there be a standard Subject Line so Issuers can quickly identify a HICS record for a January 1, 2014 Effective Date?
Answer: We understand the importance of standardized language in the HICS records. The Centers for Medicare & Medicaid Services (CMS) is currently enhancing our operational processes for HICS January 1, 2014 special enrollment period (SEP) records to ensure HICS record contains sufficient information so Issuers can match members to 834 records. While you may have seen some inconsistency in the HICS records thus far, we are working to improve the quality of the information. The goal is to provide the following data in the HICS record: the key phrase "1/1/2014 SEP", the consumer's first and last name, zip code, and date of birth. This information may be found in different fields of the record. As we continue to roll-out the enhanced process, you may still see some HICS records with some but not all of the additional data elements.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: January 01, 2014
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