Skip to main content
U.S. flag

An official website of the United States government

Return to Search

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 09, 2014

Program Area: Small Business Health Options Program (SHOP)

Question: After the Centers for Medicare & Medicaid Services (CMS) sends issuers approvals for the Electronic Data Interchange (EDI) registration forms, when will CMS contact issuers to set up their Electronic File Transfer (EFT) folder and connectivity?

Answer: CMS will immediately notify issuers when CMS receives the EDI Registration form. The forms then go through multiple approval levels. One approval level is EFT setup and connectivity testing. The EFT team will reach out to the issuer to complete this process. Once complete, the form is approved to move to the next level of approval.

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.