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RDS Program Components

Additional Program Tasks

Quick Access Reports (QAR)

Supplemental Information

Step 8: Enter Revisions to Final Costs

User Roles:

AM

D

Program Components:

Reconciliation

Overview

This section provides an overview of the following topics related to Step 8: Enter Revisions to Final Costs:

Introduction to Reconciliation Step 8: Enter Revisions to Final Costs

The purpose of Step 8: Enter Revisions to Final Costs is for Plan Sponsors to consider any necessary revisions to the summarized final cost data reported in Step 6: Manage Submission of Final Cost Reports and reviewed in Step 7: Review Final Costs. Revisions may be necessary as a result of the coordination of individual retiree Cost Thresholds or Cost Limits, unreported rebates or price concessions, or any other situations that may result in modifications to the aggregated Threshold Reduction, Limit Reduction, or Actual Cost Adjustment figures reported in Step 6.

Although Step 8 must be completed, cost revisions cannot be entered in Step 8 at this time. Therefore, all final cost data must be accurately reported when submitting final costs in Step 6.

 For more information about submitting final cost data, refer to Submitting Final Costs.

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Timing for Reconciliation Step 8: Enter Revisions to Final Costs

Step 8: Enter Revisions to Final Costs can be started after Steps 1 through 7 have been completed. Step 8 must be marked "Complete" on the Reconciliation Checklist to proceed to the remaining steps.

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User Role Responsibilities for Reconciliation Step 8: Enter Revisions to Final Costs

Step 8: Enter Revisions to Final Costs can only be completed by the Account Manager or Designee with Request Payment privilege. The Authorized Representative has “View Only” access to this step.

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Prepare for Reconciliation Step 8

To aid a successful completion of Step 8: Enter Revisions to Final Costs, Plan Sponsors should consider the following:

The Plan Sponsor is responsible for coordinating calculated Threshold Reductions and Limit Reductions for Qualifying Covered Retirees (QCRs) prior to reporting any cost data in Reconciliation Step 6: Manage Submission of Final Cost Reports. For each QCR in an application, the Plan Sponsor must apply the applicable Cost Threshold and Cost Limit to all gross cost data reported for that individual for the entire RDS plan year.

For more information, go to the RDS Community Information Group (CIG) article: Coordinating Individual Qualifying Covered Retiree Costs.

Rebates and similar price concessions must be accurately reported in the final cost data submitted in Step 6. For CMS guidance on reporting rebates and other price concessions, refer to the CMS Employer Information page: http://www.cms.hhs.gov/EmployerRetireeDrugSubsid/01_Overview.asp.

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What Happens After Step 8: Enter Revisions to Final Costs Is Complete

After Step 8: Enter Revisions to Final Costs is complete the status of Step 8 changes to "Complete" and the Last Updated Date and Last Updated By fields are updated accordingly. Step 8 is marked with a green check to indicate that the step is complete and Step 9: Finalize Reconciliation Payment Request is marked with a blue arrow to indicate that it is the next step. The status of the application remains "Reconciliation Cost Reporting Closed."

Step 8 can be revisited, after it is complete. The question "Do you have revisions to make?" in Step 8 must be answered "No" to proceed with the remaining steps in Reconciliation.

Note: If coordination of individual retiree costs, rebates, or other price concessions are not reflected in the final cost reports, cost reports must be re-submitted to reflect the changed values. To enable Cost Reporters to submit or resubmit cost reports, select "Allow Reporting" using Step 6: Manage Submission of Final Cost Report.

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Step-by-Step Instructions

This section provides step-by-step instructions to complete Step 8: Enter Revisions to Final Costs.

To access the RDS Secure Website and navigate to the Reconciliation Checklist page, refer to instructions to access the Reconciliation Checklist.

On the Reconciliation Checklist page:

  1. Select Step 8: Enter Revisions to Final Costs.

     Select [Enter Revisions to Final Costs]

On the Step 8: Enter Revisions to Final Costs page:

  1. Select No if you have no revisions.
  2. Select Submit to complete Step 8 or select Cancel to return to the Step 8: Enter Revisions to Final Costs page without completing this step.

    Note: Cost revisions cannot be entered in Step 8 at this time. Therefore, all final cost data must be accurately reported when submitting final costs in Step 6: Manage Submission of Final Cost Reports.

     Select [No], Select [Submit]

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