CMS responding to plan queries

January 14, 2014

Plans are working through 834 data to get new members signed up quickly

According to the Centers for Medicare and Medicaid Services (CMS), since October 1, 2013, more than 6 million consumers have enrolled in coverage through the exchanges or have qualified for Medicaid.

Based on past technical issues with the exchange portals-some of which still persist-insurers might be skeptical about the outlook for the remainder of open enrollment season. CMS has worked its way through a punchlist of more than 400 fixes, including fixes to 834 data transfer to insurers.

“We haven’t heard many complaints from our plans lately, although I’d stress that this isn’t proof that their operations are problem-free,” says Margaret Murray, CEO of the Association for Community Affiliated Plans (ACAP). “We have heard occasionally from our plans about issues with 834s and other operational elements, and we have sent their feedback on to senior Center for Consumer Information and Insurance Oversight (CCIIO) staff-CCIIO staff have been extraordinarily responsive in addressing the issues quickly and effectively.”

Navigators indicate that they are going directly to state enrollment channels to sign up individuals who qualify for Medicaid.