Small Business Health Options Program (SHOP) FAQ
Guidance for FAQ regarding 834 Transaction and Reinstatement Transaction
Program Area: Small Business Health Options Program (SHOP)
Question: Will the maintenance effective date for reinstatement transactions be the benefit begin date, or the date when the member needs to be reinstated?
Answer: Reinstatement effective dates will be retroactive back to when the members were terminated. Thus, if coverage was terminated as of May 31 and a group pays all back payments and pre-pays the next month, the reinstatement date will be June 1.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: July 16, 2014
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