ExchangeAdministrativeLow impact
R246SOMA: Revisions to the State Operations Manual (SOM) Appendix H, End-Stage Renal Disease (ESRD) Program Interpretive Guidelines and Survey Procedures.
Medicare/CMS - Transmittals·CMS Transmittal
We identified it
Aug 18, 2026
Summary
This policy document provides contact information and resources for CMS Marketplace agents and brokers, including help desk phone numbers, email addresses, and website links. It is NOT a clinical or billing policy change affecting ESRD, medical codes, coverage, or reimbursement. The title references R246SOMA and ESRD guidelines, but the actual content is administrative guidance for Marketplace enrollment assistance.
Action Required
No action required for medical billing team. This document is administrative reference material for Marketplace agents and brokers, not billing staff. If your practice employs agents or brokers assisting consumers with ACA Marketplace enrollment, they may reference these help desk contacts and resources for support.