Collection of Encounter Data from Medicare Advantage Organizations

CSSC Operations Submitter Application Form
Welcome to the Submitter Application Form!
Start a New Application
An entity (Plan or Third Party*) that has elected to
submit data for one or more of the submission types
listed below. By completing the application, you are
requesting the assignment of a Submitter ID Number
for the submission of data to CMS.

Qualifying Data Submission Types:
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Encounter Data
Risk Adjustment Data (RAPS)
Prescription Drug Event (PDE)
Medicare-Medicaid Data (MMP)

The application form consists of 5 steps:
1.
2.
3.
4.
5.

Select the submission types.
Select the entity type.
Complete the general organization information.
Review the application.
Confirm, print, and submit the application. A
submission receipt will be provided for your
records.

Find an Existing Application
Begin here if an application has been previously
started or completed for the organization. Please
have the Application ID and Application Code
provided at the start of the application.
Please note the following for submission of data:
Prior to assigning a Submitter ID Number, an EDI
Agreement must be completed and on file with CSSC
for each contract and entity prior to submitting data.
The agreement must be signed by an authorized
agent of the organization and returned to CSSC
Operations at the address provided.
Please complete the online Submitter Application
and return the completed EDI Agreement to:
Palmetto GBA
CSSC Operations AG-570
2300 Springdale Drive Bldg. One
Camden, South Carolina, 29020-1728

the secure network linking all data processing
entities. Small plans (contracts with enrollment less
than 100,000) that elect to submit data may submit
data to the secure CMS website.
The submitter is limited to one connectivity type, per
assigned submitter ID per qualifying submission
types.
FTP:
Modem (dial-up) or lease line connection.
Secure FTP.
Receipt of front-end response report within one
business day.
Connect:Direct (NDM):
Mainframe-to-mainframe connection.
Receipt of front-end response report within one
business day.
Formerly known as Network Data Mover (NDM).
Gentran/TIBCO (MFT)*:
Secure FTP.
Receipt of front-end response report within one
business day.
Only for plans with less than 100,000 enrollees.
*Gentran/TIBCO (MFT) is not available to Third Party
Submitters and is not an option for MMP Submitters.

Submitter Authorization Form
In the event a contract elects to use a Third Party
Submitter to submit data on their behalf, a
Submitter Authorization Form must be completed by
a representative from the contract. The Submitter
Authorization Form can be accessed at the link
provided below.

Authorization Form
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Start New Application (Hyperlink)
Find Existing Application
Application ID

Application Code

Connectivity Options
All submitters that submit data must establish a
connection to the Front-End System through CMSNet
provided by Ability Network. CMSNet is

Lookup Application (Hyperlink)