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.
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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.
This section provides information about satisfying an overpayment.
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.
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.
Learn about the seven actions Plan Sponsors can follow when preparing interim payment requests to ensure the Covered Retiree List is properly communicated and retiree information is managed.
Find out how the Medicare Part D Open Enrollment Period (OEP) can impact your ability to receive subsidy for a covered retiree.
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.
Covers answers to the questions CMS' RDS Center most frequently receives from the Plan Sponsor community.
Covers information such as how subsidy is calculated for an application, the requirements, qualifications, and benefits of RDS, and general terms used in the program.
Covers information such as how to create a Plan Sponsor Account and what registered Plan Sponsor information can and cannot be changed.
Covers information such as how to register as an RDS Secure Website user and how often to change user Passwords.
Covers information such as how to apply for the program and what information is required to complete an application.
Covers information such as how to manage RDS Secure Website user roles, how to change user information, and how to manage account information such as changing your Password and enabling your user account.
Covers information such as how to complete the Application Submission Process and how to change application information.