Application Statuses

User Roles:

AM

AR

AC

D

V

Program Components:

User Management

Annual Plan Application

Retiree Management

Payment Setup

Interim Payment

Reconciliation

This sections provides a list of statuses and corresponding descriptions that an RDS application may have at various points through the RDS Program Lifecycle.

Application Statuses
Status Description
Incomplete An application that has been started but one or more steps of the Application Submission Process are incomplete, and therefore the application has not yet been submitted to CMS' RDS Center. To submit a timely RDS Application for a given Plan Year, a Plan Sponsor must submit a Valid Initial Online Application AND a Valid Initial Retiree List prior to the expiration of the Application Deadline.
Submitted An application that has submitted the Valid Initial Online Application to CMS' RDS Center by completing Application Submission Process Step 8: Plan Sponsor Agreement. The application may return to this status when the application is resubmitted due to a change in the EFT Information prior to Reconciliation.  
Approved An application whose Valid Initial Online Application and Valid Initial Retiree List has been processed and approved by CMS' RDS Center.
Denied An application whose Valid Initial Online Application and/or Valid Initial Retiree List was not submitted to CMS' RDS Center by the Application Deadline. Plan Sponsors may request a reconsideration or a reopening through the RDS Secure Website if it disagrees with the adverse initial determination made by CMS' RDS Center.
Application Error An application whose EFT Banking Information of Account Type, Account Number, and/or Bank Routing Number could not be validated. If the Plan Sponsor receives this application status, it will need to correct the EFT Information and the Authorized Representative will need to re-sign the Plan Sponsor Agreement. The Account Manager, Authorized Representative, and Designee with the Complete EFT Information privilege will be notified by email with instructions on how to proceed.
Withdrawn/Deleted An application that has been initiated, but whose Plan Sponsor has notified CMS' RDS Center will not be used to obtain RDS subsidy payment and should therefore be withdrawn.
EFT Re-Sign Application An application whose EFT Banking Information of Account Type, Account Number, and/or Bank Routing Number has changed, and whose Authorized Representative has not yet validated this information by re-signing the Plan Sponsor Agreement. The Authorized Representative must view, re-sign, and re-submit the Application in order for the EFT validation to be performed. An interim payment cannot be processed and further payments cannot be requested until the Authorized Representative re-signs the Plan Sponsor Agreement and the EFT is validated.
Reconciliation Initiated An application whose Plan Sponsor has completed Reconciliation Step 1: Initiate Reconciliation to allow for the finalization of the Covered Retiree List and for the submission of final costs and the final payment request. Once completed, this step cannot be changed.
Reconciliation Cost Reporting Opened An application whose Plan Sponsor has completed Reconciliation Step 5: Start Preparation of Reconciliation Payment Request to allow final costs to be reported. The application may also return to this status if Final Cost Reporting has been reopened after Reconciliation Step 6: Manager Submission of Final Cost Reports has been completed. By completing Reconciliation Step 5, the Plan Sponsor has notified CMS' RDS Center that it has finalized its application's Covered Retiree List and is ready to submit final cost data. If the Plan Sponsor needs to make changes to its CRL after finalization, it must contact CMS' RDS Center to have the application set back to Reconciliation Step 3: Request List of Covered Retirees.
Reconciliation Cost Reporting Closed An application whose Plan Sponsor has accepted final costs and has completed Reconciliation Step 6: Manage Submission of Final Cost Reports. By completing Reconciliation Step 6, the Plan Sponsor is indicating that final cost reporting is complete for the application thus disallowing any further submission of final cost reports.
Reconciliation Request Completed An application whose Plan Sponsor has reviewed and submitted the final payment request and completed Reconciliation Step 12: Review and Submit Reconciliation Payment Request. All 12 steps must be completed prior to the expiration of the Reconciliation Deadline. By completing Reconciliation Step 12, the Plan Sponsor is indicating that the final payment request is accurate. Once completed, this step cannot be changed. Plan Sponsors may request a reconsideration or a reopening through the RDS Secure Website if it disagrees with the adverse initial determination made by CMS' RDS Center.
Reconciliation Step Status Changing An application whose Plan Sponsor has contacted CMS' RDS Center to reopen Reconciliation Step 3: Request List of Covered Retirees and Reconciliation Step 4: Finalize Covered Retirees.
Reconciliation Deadline Passed An application that was never approved and whose Reconciliation Deadline has passed. The application can no longer be approved.
Appeal Under Review An application whose reconsideration or reopening is currently being reviewed by CMS' RDS Center.
Reconsideration Requested An application whose Plan Sponsor has notified CMS' RDS Center that it would like to pursue a reconsideration.
Reopening Requested An application whose Plan Sponsor has notified CMS' RDS Center that it would like to pursue a reopening.
Reconsidered Re-Sign Application An application whose EFT Banking Information of Account Type, Account Number, and/or Bank Routing Number has changed, and the application is involved in a Reconsideration appeal.