{
  "title": "CMS API Vocabulary",
  "description": "Vocabulary terms derived from Centers for Medicare and Medicaid Services APIs including Marketplace API and Procedure Price Lookup API",
  "source": "https://developer.cms.gov/",
  "terms": [
    {
      "term": "Address",
      "type": "object",
      "description": "A Address object in the CMS Marketplace API",
      "properties": [
        "city",
        "state",
        "street_1",
        "street_2",
        "zipcode",
        "countyfips"
      ]
    },
    {
      "term": "ApplicationError400",
      "type": "object",
      "description": "A ApplicationError400 object in the CMS Marketplace API",
      "properties": [
        "code",
        "status",
        "msg",
        "err"
      ]
    },
    {
      "term": "ApplicationError404",
      "type": "object",
      "description": "A ApplicationError404 object in the CMS Marketplace API",
      "properties": [
        "code",
        "status",
        "msg",
        "err"
      ]
    },
    {
      "term": "APT",
      "type": "object",
      "description": "A APT object in the CMS Marketplace API",
      "properties": [
        "market_year",
        "tiers"
      ]
    },
    {
      "term": "APTTier",
      "type": "object",
      "description": "A APTTier object in the CMS Marketplace API",
      "properties": [
        "pctFPL",
        "pctPremium"
      ]
    },
    {
      "term": "Benefit",
      "type": "object",
      "description": "A Benefit object in the CMS Marketplace API",
      "properties": [
        "name",
        "covered",
        "cost_sharings",
        "explanation",
        "exclusions",
        "has_limits",
        "limit_unit",
        "limit_quantity"
      ]
    },
    {
      "term": "CostSharing",
      "type": "object",
      "description": "A CostSharing object in the CMS Marketplace API",
      "properties": [
        "coinsurance_options",
        "coinsurance_rate",
        "copay_amount",
        "copay_options",
        "network_tier",
        "csr",
        "display_string"
      ]
    },
    {
      "term": "Crosswalk",
      "type": "object",
      "description": "A Crosswalk object in the CMS Marketplace API",
      "properties": [
        "levels",
        "reasons",
        "data"
      ]
    },
    {
      "term": "CrosswalkCode",
      "type": "object",
      "description": "A CrosswalkCode object in the CMS Marketplace API",
      "properties": [
        "code",
        "description"
      ]
    },
    {
      "term": "CrosswalkData",
      "type": "object",
      "description": "A CrosswalkData object in the CMS Marketplace API",
      "properties": [
        "state",
        "previous_plan_id",
        "new_plan_id",
        "fips",
        "level",
        "reason",
        "zipcodes"
      ]
    },
    {
      "term": "CSRRequestEnum",
      "type": "object",
      "description": "Cost-sharing reduction (CSR) override for requests",
      "properties": []
    },
    {
      "term": "CostSharingReductionEnum",
      "type": "object",
      "description": "Cost-sharing reduction (CSR)",
      "properties": []
    },
    {
      "term": "CSREligibilityEnum",
      "type": "object",
      "description": "Cost-sharing reduction (CSR)",
      "properties": []
    },
    {
      "term": "County",
      "type": "object",
      "description": "A County object in the CMS Marketplace API",
      "properties": [
        "fips",
        "name",
        "state"
      ]
    },
    {
      "term": "CurrentEnrollment",
      "type": "object",
      "description": "Current/existing enrollment information used to determine tobacco status for CiC enrollments. This will ensure rate calculation is done correctly.",
      "properties": [
        "plan_id",
        "effective_date",
        "uses_tobacco"
      ]
    },
    {
      "term": "DataVersion",
      "type": "object",
      "description": "A DataVersion object in the CMS Marketplace API",
      "properties": [
        "name",
        "updated"
      ]
    },
    {
      "term": "DecileEnum",
      "type": "object",
      "description": "A DecileEnum object in the CMS Marketplace API",
      "properties": []
    },
    {
      "term": "DecileMapping",
      "type": "object",
      "description": "A DecileMapping object in the CMS Marketplace API",
      "properties": [
        "low",
        "medium",
        "high"
      ]
    },
    {
      "term": "DecileUtilizationMapping",
      "type": "object",
      "description": "A DecileUtilizationMapping object in the CMS Marketplace API",
      "properties": [
        "male",
        "femaile"
      ]
    },
    {
      "term": "DecileUtilizationAgeMap",
      "type": "object",
      "description": "A DecileUtilizationAgeMap object in the CMS Marketplace API",
      "properties": [
        "6",
        "18",
        "26",
        "35",
        "45",
        "55",
        "999"
      ]
    },
    {
      "term": "Deductible",
      "type": "object",
      "description": "A Deductible object in the CMS Marketplace API",
      "properties": [
        "amount",
        "csr",
        "family_cost",
        "network_tier",
        "type",
        "individual",
        "family",
        "display_string"
      ]
    },
    {
      "term": "DiseaseMgmtProgramsEnum",
      "type": "object",
      "description": "A DiseaseMgmtProgramsEnum object in the CMS Marketplace API",
      "properties": []
    },
    {
      "term": "Drug",
      "type": "object",
      "description": "A Drug object in the CMS Marketplace API",
      "properties": [
        "id",
        "name",
        "rxcui",
        "strength",
        "route",
        "full_name",
        "rxterms_dose_form",
        "rxnorm_dose_form"
      ]
    },
    {
      "term": "Coverage",
      "type": "object",
      "description": "A Coverage object in the CMS Marketplace API",
      "properties": []
    },
    {
      "term": "DrugCoverage",
      "type": "object",
      "description": "A DrugCoverage object in the CMS Marketplace API",
      "properties": [
        "rxcui",
        "plan_id",
        "coverage",
        "generic_rxcui"
      ]
    },
    {
      "term": "Eligibility",
      "type": "object",
      "description": "A Eligibility object in the CMS Marketplace API",
      "properties": [
        "aptc",
        "csr",
        "hardship_exemption",
        "is_medicaid_chip"
      ]
    },
    {
      "term": "FamilyCostEnum",
      "type": "object",
      "description": "family cost enumeration for MOOPs and deductibles",
      "properties": []
    },
    {
      "term": "HRA",
      "type": "object",
      "description": "monthly employee HRA from employer",
      "properties": []
    },
    {
      "term": "Range",
      "type": "object",
      "description": "A Range object in the CMS Marketplace API",
      "properties": [
        "min",
        "max"
      ]
    },
    {
      "term": "PlanSearchFilter",
      "type": "object",
      "description": "plan search filter",
      "properties": [
        "disease_mgmt_programs",
        "division",
        "issuer",
        "issuers",
        "metal_levels",
        "metal_level",
        "metal_design_types",
        "design_types",
        "premium",
        "type",
        "types",
        "deductible",
        "hsa",
        "oopc",
        "child_dental_coverage",
        "adult_dental_coverage",
        "drugs",
        "providers",
        "quality_rating",
        "simple_choice",
        "premium_range",
        "deductible_range"
      ]
    },
    {
      "term": "GenderEnum",
      "type": "object",
      "description": "A GenderEnum object in the CMS Marketplace API",
      "properties": []
    },
    {
      "term": "Household",
      "type": "object",
      "description": "If a household is not included, will default to Individual household",
      "properties": [
        "income",
        "unemployment_received",
        "people",
        "has_married_couple",
        "effective_date"
      ]
    },
    {
      "term": "ICHRAResponse",
      "type": "object",
      "description": "A ICHRAResponse object in the CMS Marketplace API",
      "properties": [
        "affordable",
        "premium"
      ]
    },
    {
      "term": "LowestCostPlanHousehold",
      "type": "object",
      "description": "A LowestCostPlanHousehold object in the CMS Marketplace API",
      "properties": [
        "income",
        "people"
      ]
    },
    {
      "term": "InsuranceMarketEnum",
      "type": "object",
      "description": "A InsuranceMarketEnum object in the CMS Marketplace API",
      "properties": []
    },
    {
      "term": "Issuer",
      "type": "object",
      "description": "A Issuer object in the CMS Marketplace API",
      "properties": [
        "eligible_dependents",
        "id",
        "individual_url",
        "name",
        "shop_url",
        "state",
        "toll_free",
        "tty"
      ]
    },
    {
      "term": "MOOP",
      "type": "object",
      "description": "maximum out-of-pocket",
      "properties": [
        "amount",
        "csr",
        "family_cost",
        "network_tier",
        "type",
        "individual",
        "family",
        "display_string"
      ]
    },
    {
      "term": "MarketYear",
      "type": "object",
      "description": "A MarketYear object in the CMS Marketplace API",
      "properties": []
    },
    {
      "term": "MarketYears",
      "type": "object",
      "description": "Current and supported market years",
      "properties": [
        "current",
        "supported"
      ]
    },
    {
      "term": "MarketEnum",
      "type": "object",
      "description": "A MarketEnum object in the CMS Marketplace API",
      "properties": []
    },
    {
      "term": "MarketplaceModelEnum",
      "type": "object",
      "description": "A MarketplaceModelEnum object in the CMS Marketplace API",
      "properties": []
    },
    {
      "term": "MetalLevelEnum",
      "type": "object",
      "description": "A MetalLevelEnum object in the CMS Marketplace API",
      "properties": []
    },
    {
      "term": "DesignTypeEnum",
      "type": "object",
      "description": "A DesignTypeEnum object in the CMS Marketplace API",
      "properties": []
    },
    {
      "term": "MetalDesignType",
      "type": "object",
      "description": "A MetalDesignType object in the CMS Marketplace API",
      "properties": [
        "metal_level",
        "design_types"
      ]
    },
    {
      "term": "NetworkTierEnum",
      "type": "object",
      "description": "A NetworkTierEnum object in the CMS Marketplace API",
      "properties": []
    },
    {
      "term": "Person",
      "type": "object",
      "description": "A Person object in the CMS Marketplace API",
      "properties": [
        "age",
        "dob",
        "has_mec",
        "is_parent",
        "is_pregnant",
        "pregnant_with",
        "uses_tobacco",
        "last_tobacco_use_date",
        "gender",
        "utilization_level",
        "relationship",
        "does_not_cohabitate",
        "aptc_eligible",
        "current_enrollment"
      ]
    },
    {
      "term": "LowestCostPlanPerson",
      "type": "object",
      "description": "A LowestCostPlanPerson object in the CMS Marketplace API",
      "properties": [
        "age",
        "uses_tobacco"
      ]
    },
    {
      "term": "LowestCostPlanResponse",
      "type": "object",
      "description": "A LowestCostPlanResponse object in the CMS Marketplace API",
      "properties": [
        "id",
        "name",
        "premium",
        "metal_level"
      ]
    },
    {
      "term": "Place",
      "type": "object",
      "description": "A Place object in the CMS Marketplace API",
      "properties": [
        "countyfips",
        "state",
        "zipcode"
      ]
    },
    {
      "term": "Plan",
      "type": "object",
      "description": "A Plan object in the CMS Marketplace API",
      "properties": [
        "id",
        "name",
        "benefits",
        "deductibles",
        "disease_mgmt_programs",
        "has_national_network",
        "quality_rating",
        "insurance_market",
        "issuer",
        "market",
        "max_age_child",
        "metal_level",
        "moops",
        "premium",
        "premium_w_credit",
        "ehb_premium",
        "pediatric_ehb_premium",
        "aptc_eligible_premium",
        "guaranteed_rate",
        "simple_choice",
        "product_division",
        "specialist_referral_required",
        "state",
        "type",
        "benefits_url",
        "brochure_url",
        "formulary_url",
        "network_url",
        "hsa_eligible",
        "oopc",
        "suppression_state",
        "tobacco_lookback",
        "certification",
        "network_adequacy",
        "sbcs",
        "rx_3mo_mail_order",
        "is_ineligible",
        "covers_nonhyde_abortion",
        "service_area_id"
      ]
    },
    {
      "term": "PlanSearchRequest",
      "type": "object",
      "description": "A PlanSearchRequest object in the CMS Marketplace API",
      "properties": [
        "filter",
        "household",
        "offset",
        "order",
        "place",
        "sort",
        "year",
        "market",
        "aptc_override",
        "csr_override",
        "catastrophic_override",
        "suppressed_plan_ids"
      ]
    },
    {
      "term": "PlanTypeEnum",
      "type": "object",
      "description": "A PlanTypeEnum object in the CMS Marketplace API",
      "properties": []
    },
    {
      "term": "ProductDivisionEnum",
      "type": "object",
      "description": "A ProductDivisionEnum object in the CMS Marketplace API",
      "properties": []
    },
    {
      "term": "Provider",
      "type": "object",
      "description": "A Provider object in the CMS Marketplace API",
      "properties": [
        "name",
        "gender",
        "specialties",
        "type",
        "accepting",
        "npi",
        "languages",
        "facility_types",
        "taxonomy"
      ]
    },
    {
      "term": "ProviderCoverage",
      "type": "object",
      "description": "A ProviderCoverage object in the CMS Marketplace API",
      "properties": [
        "npi",
        "plan_id",
        "coverage",
        "addresses",
        "accepting"
      ]
    },
    {
      "term": "ProviderGenderEnum",
      "type": "object",
      "description": "A ProviderGenderEnum object in the CMS Marketplace API",
      "properties": []
    },
    {
      "term": "NearbyProvider",
      "type": "object",
      "description": "A NearbyProvider object in the CMS Marketplace API",
      "properties": [
        "provider",
        "address",
        "distance"
      ]
    },
    {
      "term": "ProviderTypeEnum",
      "type": "object",
      "description": "A ProviderTypeEnum object in the CMS Marketplace API",
      "properties": []
    },
    {
      "term": "QualityRating",
      "type": "object",
      "description": "A QualityRating object in the CMS Marketplace API",
      "properties": [
        "available",
        "year",
        "global_rating",
        "global_not_rated_reason",
        "clinical_quality_management_rating",
        "clinical_quality_management_not_rated_reason",
        "enrollee_experience_rating",
        "enrollee_experience_not_rated_reason",
        "plan_efficiency_rating",
        "plan_efficiency_not_rated_reason"
      ]
    },
    {
      "term": "RateArea",
      "type": "object",
      "description": "A RateArea object in the CMS Marketplace API",
      "properties": [
        "state",
        "area"
      ]
    },
    {
      "term": "Relationship",
      "type": "object",
      "description": "Should match one of the [listed valid relationships](#introduction/more-information-about-households).",
      "properties": []
    },
    {
      "term": "SBCScenario",
      "type": "object",
      "description": "A SBCScenario object in the CMS Marketplace API",
      "properties": [
        "deductible",
        "copay",
        "coinsurance",
        "limit"
      ]
    },
    {
      "term": "State",
      "type": "object",
      "description": "A State object in the CMS Marketplace API",
      "properties": [
        "abbrev",
        "fips",
        "hix_name",
        "hix_url",
        "marketplace",
        "name",
        "shop_hix_name",
        "shop_hix_url",
        "shop_marketplace",
        "8962_link",
        "8965_link",
        "assister_program_url"
      ]
    },
    {
      "term": "Guideline",
      "type": "object",
      "description": "A Guideline object in the CMS Marketplace API",
      "properties": [
        "household_size",
        "guideline"
      ]
    },
    {
      "term": "PovertyGuideline",
      "type": "object",
      "description": "A PovertyGuideline object in the CMS Marketplace API",
      "properties": [
        "add_per_person_after_eight",
        "guidelines"
      ]
    },
    {
      "term": "LowIncomeChild",
      "type": "object",
      "description": "A LowIncomeChild object in the CMS Marketplace API",
      "properties": [
        "min_age",
        "max_age",
        "pc_fpl"
      ]
    },
    {
      "term": "StateMedicaidList",
      "type": "object",
      "description": "A StateMedicaidList object in the CMS Marketplace API",
      "properties": [
        "fiscal_year",
        "fiscal_quarter",
        "states"
      ]
    },
    {
      "term": "StateMedicaid",
      "type": "object",
      "description": "A StateMedicaid object in the CMS Marketplace API",
      "properties": [
        "name",
        "abbrev",
        "fiscal_year",
        "fiscal_quarter",
        "pc_fpl_parent",
        "pc_fpl_pregnant",
        "pc_fpl_adult",
        "pc_fpl_child_newborn",
        "pc_fpl_child_1_5",
        "pc_fpl_child_6_18",
        "low_income_child",
        "chip"
      ]
    },
    {
      "term": "UtilizationEnum",
      "type": "object",
      "description": "A UtilizationEnum object in the CMS Marketplace API",
      "properties": []
    },
    {
      "term": "ZIPCounty",
      "type": "object",
      "description": "A ZIPCounty object in the CMS Marketplace API",
      "properties": [
        "fips",
        "name",
        "state",
        "zipcode"
      ]
    },
    {
      "term": "NPI",
      "type": "object",
      "description": "A NPI object in the CMS Marketplace API",
      "properties": []
    },
    {
      "term": "PlanID",
      "type": "object",
      "description": "A PlanID object in the CMS Marketplace API",
      "properties": []
    },
    {
      "term": "RxCUI",
      "type": "object",
      "description": "A RxCUI object in the CMS Marketplace API",
      "properties": []
    },
    {
      "term": "Enrollment",
      "type": "object",
      "description": "A Enrollment object in the CMS Marketplace API",
      "properties": [
        "enrollmentGroups",
        "enrollees"
      ]
    },
    {
      "term": "EnrollmentGroup",
      "type": "object",
      "description": "A EnrollmentGroup object in the CMS Marketplace API",
      "properties": [
        "id",
        "aptc",
        "planID"
      ]
    },
    {
      "term": "Enrollee",
      "type": "object",
      "description": "A Enrollee object in the CMS Marketplace API",
      "properties": [
        "enrollmentGroupID",
        "tobaccoDate"
      ]
    },
    {
      "term": "RelationshipEdge",
      "type": "object",
      "description": "A RelationshipEdge object in the CMS Marketplace API",
      "properties": [
        "super_id",
        "sub_id",
        "relationship"
      ]
    },
    {
      "term": "ExtendedEnrollee",
      "type": "object",
      "description": "A ExtendedEnrollee object in the CMS Marketplace API",
      "properties": [
        "id",
        "name",
        "gender",
        "dob",
        "location",
        "csr",
        "is_filer",
        "effective_age",
        "has_hardship",
        "relationship",
        "allowed_metal_levels",
        "allowed_plan_ids",
        "current_enrollment"
      ]
    },
    {
      "term": "ExtendedEnrollment",
      "type": "object",
      "description": "A ExtendedEnrollment object in the CMS Marketplace API",
      "properties": [
        "maxAPTC",
        "year",
        "is_custom",
        "division",
        "enrollment_groups",
        "enrollees"
      ]
    },
    {
      "term": "APTC",
      "type": "object",
      "description": "A APTC object in the CMS Marketplace API",
      "properties": [
        "aptc_amount",
        "is_catastrophic",
        "enrollment_groups"
      ]
    },
    {
      "term": "APTCEnrollmentGroup",
      "type": "object",
      "description": "A APTCEnrollmentGroup object in the CMS Marketplace API",
      "properties": [
        "id",
        "aptc_eligible_premium",
        "division",
        "enrollees"
      ]
    },
    {
      "term": "APTCEnrollee",
      "type": "object",
      "description": "A APTCEnrollee object in the CMS Marketplace API",
      "properties": [
        "is_pediatric",
        "aptc_percentage"
      ]
    },
    {
      "term": "APTCAllocationResult",
      "type": "object",
      "description": "A APTCAllocationResult object in the CMS Marketplace API",
      "properties": [
        "enrollment_group_id",
        "amount"
      ]
    },
    {
      "term": "FlattenedEnrollmentGroup",
      "type": "object",
      "description": "A FlattenedEnrollmentGroup object in the CMS Marketplace API",
      "properties": [
        "id",
        "csr",
        "enrollees",
        "grouping_reason",
        "year",
        "subscriber_id",
        "relationships",
        "effective_date"
      ]
    },
    {
      "term": "PlanIDList",
      "type": "object",
      "description": "A PlanIDList object in the CMS Marketplace API",
      "properties": []
    },
    {
      "term": "SuppressionStatus",
      "type": "object",
      "description": "A SuppressionStatus object in the CMS Marketplace API",
      "properties": []
    },
    {
      "term": "CertificationStatus",
      "type": "object",
      "description": "A CertificationStatus object in the CMS Marketplace API",
      "properties": []
    },
    {
      "term": "StateCounty",
      "type": "object",
      "description": "A StateCounty object in the CMS Marketplace API",
      "properties": [
        "state",
        "counties"
      ]
    },
    {
      "term": "CountyZips",
      "type": "object",
      "description": "A CountyZips object in the CMS Marketplace API",
      "properties": [
        "name",
        "fips",
        "zips"
      ]
    },
    {
      "term": "StateRateArea",
      "type": "object",
      "description": "A StateRateArea object in the CMS Marketplace API",
      "properties": [
        "state",
        "rateAreas"
      ]
    },
    {
      "term": "RateAreaCounty",
      "type": "object",
      "description": "A RateAreaCounty object in the CMS Marketplace API",
      "properties": [
        "rateArea",
        "counties"
      ]
    },
    {
      "term": "Code",
      "type": "object",
      "description": "A Code object in the CMS PPL API",
      "api": "PPL",
      "properties": [
        "code",
        "description",
        "frequency"
      ]
    },
    {
      "term": "Cost",
      "type": "object",
      "description": "A Cost object in the CMS PPL API",
      "api": "PPL",
      "properties": [
        "facilityType",
        "cost",
        "copay",
        "total"
      ]
    }
  ]
}