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Text of CMS Guidance: Treatment of Risk Corridors Recovery Payments in the Medical Loss Ratio and Rebate Calculations (PDF)
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS]
[Official Guidance] Dec. 31, 2020 14 pages. "The purpose of this guidance is to describe how issuers must treat the [risk corridor] payment amounts recovered as a result of the Supreme Court decision in their MLR and rebate calculations. On September 30, 2020, CMS published a draft of this guidance and invited public comments. CMS has received comments and questions from 16 issuers, issuer associations, and state regulators, and has made several revisions in this final guidance document in response to the comments." |
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