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The RDS User Guide provides comprehensive, detailed information about participating in the RDS Program. Get overview information and step-by-step instructions for key program areas and more.
Payment Setup is the process where the Plan Sponsor determines who reports cost data for each Benefit Option on the application, how the information is communicated to CMS' RDS Center, and who requests interim payments if the Plan Sponsor selects an Interim Payment Frequency.
This section provides an overview and step-by-step instructions for completing Payment Setup.
This section provides an overview and step-by-step instructions for changing Payment Setup.
Learn how to set up a Vendor Designee in Payment Setup and note mistakes to avoid.
Review helpful guidelines to assist in successful cost reporting.
This page contains links to technical articles that provide expert insight on important program topics.
Covers information such how to complete and change Payment Setup and who can complete and change Payment Setup.
This section of the User Roles Support Tool details which user roles are involved in the Payment Setup process.
This sections provides a list of statuses and corresponding descriptions that an RDS application may have at various points through the RDS Program Lifecycle.
This section provides information to assist in preparing cost data for submission to CMS' RDS Center:
The Interim Payment Process is a method the Plan Sponsor uses to submit interim cost reports and make interim payment requests for Qualifying Covered Retirees on an approved RDS application.
This section provides an overview and step-by-step instructions for submitting interim costs.
This section provides an overview and step-by-step instructions for submitting an interim payment request.
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.