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

Issue Date: September 11, 2014

Program Area: Small Business Health Options Program (SHOP)

Question: Will the Centers for Medicare & Medicaid Services (CMS) send 820 files per state or per Health Insurance Oversight System (HIOS) ID? Will each state receive an 820 file or would there be one 820 file for all states that have the same HIOS ID?

Answer: HIOS registrations are specific to a state. Each HIOS ID is registered to one specific state, and the FF-SHOP will send payments at the HIOS ID level.

HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov.

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.