Application Statuses

User Roles:

AM

AR

AC

D

V

Program Components:

User Management

Annual Plan Application

Retiree Management

Payment Setup

Interim Payment

Reconciliation

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

Application Statuses
Application Statuses 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: Review and Submit Application. 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 Banking Information—specifically 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 Banking Information and the Authorized Representative will need to re-sign the Plan Sponsor Agreement. The Account Manager, Authorized Representative, and Designee with the Complete Banking Information privilege will be notified by email with instructions on how to proceed.

Withdrawn/Deleted

An application that has been initiated, but the Plan Sponsor has notified CMS' RDS Center it will not be used to obtain RDS subsidy payment, and should therefore be withdrawn.

EFT Re-Sign Application

An application whose Banking Information—specifically 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: 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: Finalize Covered Retirees and can begin Reconciliation: Manage Final Costs. The application may also return to this status if Final Cost Reporting has been reopened during Reconciliation: Review Final Costs. At this Reconciliation, 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: Finalize Covered Retirees.

Reconciliation Cost Reporting Closed

An application whose Plan Sponsor has accepted final costs and has completed Reconciliation: Review Final Costs. By completing Reconciliation: Review Final Costs, 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: Review and Submit Reconciliation Payment Request. All Reconciliation steps must be completed prior to the expiration of the Reconciliation Deadline. By completing Reconciliation: Review and Submit Reconciliation Payment Request, 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: 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 Banking Information of Account Type, Account Number, and/or Bank Routing Number has changed, and the application is involved in a Reconsideration appeal.