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Text of CMS Draft Insurance Standards Bulletin: Treatment of Recovered Cost-Sharing Reduction Amounts in the MLR Calculations (PDF)
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS] Link to more items from this source
[Guidance Overview]
Mar. 21, 2022

6 pages. "Under the MLR regulations ... an issuer's MLR and rebate calculations must account for, among other things, CSR payments. The purpose of this draft guidance is to propose instructions for issuers to report and treat recovered CSR amounts in their MLR and rebate calculations."

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