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Small Business Health Options Program (SHOP) FAQ

Guidance for FAQ regarding Issuer Participation Requirements and Bank Account Setup

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

Issue Date: October 02, 2014

Program Area: Small Business Health Options Program (SHOP)

Question: Can an issuer have two different Trading Partner and Payee IDs in a single state: one for the Individual Marketplace and one for the Small Business Health Options Program (SHOP) Marketplace?

Answer: No, an issuer's Payee Group IDs are the same for both the Individual and FF-SHOP Marketplaces in a single state.

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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.