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Health & Welfare Plans Newsletter
BULLETIN
December 26, 2022
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[Official Guidance]
Text of Agency FAQs Part 56: Flexibilities with Respect to Reporting on Prescription Drug and Health Care Spending in the Prescription Drug Data Collection (PDF)
"[F]or the 2020 and 2021 data submissions that are due by December 27, 2022, the Departments will not take enforcement action with respect to any plan or issuer that uses a good faith, reasonable interpretation of the regulations and the Prescription Drug Data Collection
(RxDC) Reporting Instructions in making its submission. The Departments are also providing a submission grace period through January 31, 2023, and will not consider a plan or issuer to be out of compliance with these requirements provided that a good faith submission of 2020 and 2021 data is made on or before that date. "In addition, to facilitate the submission process, the Departments are providing ... clarifications and flexibilities with respect to reporting requirements (including operational requirements within the Health Insurance Oversight System (HIOS) reporting system) for the 2020 and 2021 data[.]" MORE >>
U.S. Department of Health and Human Services [HHS]; U.S. Department of Labor [DOL]; and U.S. Treasury Department
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[Official Guidance]
Text of Agency Amendment to the Calendar Year 2023 Fee Guidance for the Federal IDR Process: Change in Administrative Fee (PDF)
"The Departments ... are amending the prior 2023 guidance to increase the administrative fee for the Federal independent dispute resolution (IDR) process from $50 to $350 per party for disputes initiated during the calendar year beginning January 1, 2023, due to
supplemental data analysis and increasing expenditures in carrying out the Federal IDR process since the development of the prior 2023 guidance." MORE >>
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS]
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BenefitsLink Retirement Plans Newsletter, ISSN no. 1536-9587.
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