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Medicare HETS 270/271 Eligibility - Information Bulletin - Upcoming System Release Update - February 12, 2016
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HETS 270/271

Medicare HETS 270/271 Submitters:

CMS previously announced an upcoming HETS 270/271 R2016Q300 system release in the third quarter of 2016.  The HETS R2016Q300 Release Summary has been updated to reflect additional changes identified for this release.  Please refresh your browser to ensure you are viewing version 1.03 of the Release Summary document.

Release Summary: /Research-Statistics-Data-and-Systems/CMS-Information-Technology/HETSHelp/Downloads/R2016Q300HETS270271ReleaseSummary.pdf (PDF) (version 1.03)

All changes are documented in Appendix A. The key change that Submitters need to review is bullet number five in Section 3.2.2.  Effective with this release, HETS will reject 270 requests where a Social Security Number is sent in the 270 2100C REF segment.  HETS Submitters must identify whether they are sending these types of requests to HETS and if so, modify your systems to ensure that these values are not sent in HETS 270 requests.  This change is in addition to the previously announced requirement that Submitters must ensure they do not send the Medicare Beneficiary’s Middle Name, Middle Initial or Gender in the HETS 270 request.

The HETS R2016Q300 release is scheduled for the third quarter of 2016.  Submitters will be notified when additional information is available regarding this release.

Please contact the MCARE Help Desk if you have any questions or comments.