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Small Business Health Options Program (SHOP) FAQ

Guidance for FAQ regarding Issuer Participation Requirements and EFT/EDI Onboarding

Final

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

Issue Date: September 17, 2014

Program Area: Small Business Health Options Program (SHOP)

Question: What is the deadline for Federally-facilitated Small Business Health Option Program (FF-SHOP) issuers to complete an Electronic Data Interchange (EDI) Registration form for the current plan year?

Answer: FF-SHOP issuers are encouraged to make applicable updates to issuer EDI registration forms (when applicable) as soon as possible prior to the beginning of open enrollment for the new plan year.

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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.