Employers supporting a group health plan, whether through insurance or self-insurance, are required to communicate the creditable or non-creditable status of the plan’s prescription drug coverage to the Centers for Medicare and Medicaid Services (CMS). This reporting is facilitated through access to CMS’s online reporting system here.
To comply with regulations and maintain transparency, follow these key points:
Access CMS Online Reporting: Employers (insured or self-insured) should use CMS’s online system to report prescription drug coverage details.
1.Within 60 days after the plan year starts.
2.Within 30 days after prescription drug plan termination.
3.Within 30 days after any creditable coverage status change.
Example Deadline: For a calendar year plan (Jan 1 – Dec 31, 2024), report no later than Feb 29, 2024. For detailed insights and further information, download the PDF below.
Ensure compliance, avoid penalties, and streamline the reporting process with these quick insights. For more details, visit the CMS website.
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