Small Business Health Options Program (SHOP) FAQ
Guidance for FAQ regarding 834 Transaction and Companion Guide
Program Area: Small Business Health Options Program (SHOP)
Question: Will the Centers for Medicare & Medicaid Services (CMS) use 01, 02, and 03 to designate dependents on 834 Enrollment transactions as of the 2015 Plan Year?
Answer: No, these indicators are used for the 2014 FF-SHOP Enrollment/Reconciliation reporting process. CMS is supporting nine (9) dependent relationships as of the 2015 Plan Year. Rules regarding how issuers treat dependents (e.g., the age when a child ages off a parent's plan) will be consumed from information submitted by issuers on the business rules template. The document containing a listing of relationships supported on the FF-SHOP system as of 2015 can be found at https://regtap.info/uploads/library/QHP_Slides_050814_5CR_052714.pdf
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: August 01, 2014
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