Beginning on January 9th, 2022, CMS’ RDS Center will no longer support the Internet Explorer (IE) browser. Please refer to the RDS to Discontinue Support of Internet Explorer in Early 2022 Announcement for details.
Search Results
This section provides information about when Plan Sponsors are required to coordinate individual retiree cost data, as well as examples for coordinating data.
Guidance on how to Extract Certain Medicare Part B Costs From RDS Payment Requests
An overpayment occurs when the sum of all interim payments received for an application exceeds the sum of the Reconciliation payment request.
Doubling costs occurs when a Plan Sponsor is reporting for the same months after the first payment request has been completed.
The most common reason for the overstating Gross Retiree Costs error is including costs that are not covered by Medicare Part D, therefore making them ineligible for RDS subsidy during interim payments.
The reduction in retirees error results from a Plan Sponsor failing to process and send in retiree updates during the plan year.
Underestimating Cost Adjustments during interim payments occurs when a Plan Sponsor does not make changes to their Cost Adjustment methodology from one plan year to the next when the Cost Adjustment percentage has increased.
Underreporting Threshold Reduction and Limit Reduction occurs for a couple of reasons: 1) Plan Sponsors do not understand the definition of Threshold Reduction, and 2) Plan Sponsors are not reporting the correct Threshold Reduction and Limit Reduction during interim payments.
This section provides an overview and step-by-step instructions for actions and events in Payment History, as well as information on troubleshooting Payment History.
This section provides an overview and step-by-step instructions for appealing an initial determination.
Find out how to handle this situation in Reconciliation cost reporting.
Learn about Plan Sponsor and Vendor responsibilities when coordinating final costs for Reconciliation.
Understand when a Plan Sponsor is required to coordinate individual retiree cost data and what is needed to report cost data.
Learn what you should do if you change Cost Reporter Vendors.
This technical article provides tips and reminders to help Plan Sponsors prepare for the Reconciliation process and navigate through some of the most common issues reported to CMS' RDS Center.
This page contains links to technical articles that provide expert insight on important program topics.
Covers information such as how to complete Reconciliation and when an application is ready for Reconciliation.
Covers information such as who should submit cost data and when to coordinate individual retiree cost data.
Covers information such as who may access Payment History and how to access the various Payment History event types.
Covers information such as how to request an appeal and how to withdraw an appeal.