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

Issue Date: January 09, 2017

Program Area: Small Business Health Options Program (SHOP)

Question: Can CMS state when the deadline is for issuers to submit effectuation files, how long the time frame is for issuers to submit files and what steps must be taken if there are errors in the submission process?

Answer: Issuers should submit effectuation files as soon as possible after the 26th of each month. Should errors arise during the submission process, please follow the guidance listed in the Electronic Data Interchange (EDI) 999 rejection file. If further assistance is needed please email enrollmentguidance@cms.hhs.gov

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.