Small Business Health Options Program (SHOP) FAQ
Guidance for FAQ regarding Issuer Participation Requirements and EFT/EDI Onboarding
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: October 03, 2014
Program Area: Small Business Health Options Program (SHOP)
Question: Must issuers who have already connected with the Federally-facilitated Marketplaces (FFMs) for the upcoming plan year resubmit the Electronic Data Interchange (EDI) Registration form when the Centers for Medicare and Medicaid Services (CMS) releases the new version 3.2 form?
Answer: It is not mandatory for issuers to resubmit the EDI Registration Form for every update CMS releases. However, issuers should verify that all Qualified Health Plan (QHP) and Qualified Dental Plan (QDP) information for the current plan year is updated and the Payee Group ID is listed on the existing form.
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