The following tables provide valid value component requirements requirements for ME992 and MC992. The 16-byte value (CMS field name INSRNC_PLAN_ID) is comprised of several components, each with a specific meaning. All components should be provided in the field.
This information was sourced from http://edgy.guru/docs/cms/DDC_Slides_090815_v4_5CR_090815.pdf
HIOS_ID or INSRNC_PLAN_ID
- A 16-digit field that serves as a unique plan identifier for a plan and a given variant.
- Structured as follows: [HIOS ID][State][Product Iteration][Plan Iteration][Variant]
- [HIOS ID] = Five (5) digit HIOS ID
- [STATE] = Two (2) digit state code, such as AR, CA, TX, AL, etc. (Does does include District of Columbia as DC)
- [Product Iteration] = Three (3) digit number to indicate a unique product designation
- [Plan Iteration] = Four (4) digit number to indicate a unique plan designation
- [Variant] = Two (2) digit number to indicate cost sharing variant and on/off Exchange
- 00 = Plan sold off the Exchange [Maximum Out of Pocket (MOOP) values not required for these plans]
- 01-06 = Plan sold on the Exchange in a given CSR variant
- 31-36 = On-Exchange Medicaid expansion plans (Arkansas and Iowa only)
- The 14-digit version of this ID is often referred to as the “Standard Component ID” or SCID.