| Action | Use the HIOS ID (ME992). A valid HIOS ID is 16 characters (some submitting entities place values in this field that are not 16 characters wide). The presence of a 16 character wide HIOS ID indicates that the member is enrolled in a QHP plan. NOTE: The HIOS ID is not included in a standard data pull. It is available for an additional fee. To understand the components of a HIOS ID, see below. HOIS IDs ending in 32 or 36 represent Arkansas Private Option or Arkansas Works populations. HIOS ID value component definitions: - 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] = 5-digit HIOS ID
- [STATE] = 2-digit state code, such as CA, TX, AL, etc. (does include District of Columbia as DC)
- [Product Iteration] = 3-digit number to indicate a unique product designation
- [Plan Iteration] = 4-digit number to indicate a unique plan designation
- [Variant] = 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
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