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Text of CMS Memo: Implications of the Decision by U.S. District Court for the District of New Mexico on the Risk Adjustment and Related Programs (PDF)
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS]
[Official Guidance] July 13, 2018
"CMS will not collect or pay the specified amounts [for the 2017 benefit year] at this time. CMS will inform stakeholders of any update to the status of collections or payments at an appropriate future date.... CMS will not collect or pay any specified amounts remaining for the 2014-2016 benefit years at this time.... CMS will collect 2017 benefit year risk adjustment user fees in the August 2018 payment cycle ... Issuers must continue archiving and maintaining 2014, 2015, 2016, and 2017 EDGE data consistent with normal operations.... CMS will cease issuing any further discrepancy resolution decisions at this time." [Unnumbered document, July 12, 2018]
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