CMS-10398 (#41) 1095 B Reporting (Conf Call Questions)

Generic Clearance for Medicaid and CHIP State Plan, Waiver, and Program Submissions (CMS-10398)

1095 B Reporting [rev 07-09-2015 by OSORA PRA]

Bundle: #7 (CHIPRA Cycle III and IV) and #41 (1095 B Reporting)

OMB: 0938-1148

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In August thru October 2015, CMS, in partnership with the IRS, will host a series of All State SOTA calls with State Medicaid Agencies to discuss the 1095 B reporting requirement. During the calls, CM/IRS would ask States a series of questions to gauge their readiness. Following is a list of questions:


  1. Which state do you represent? (Answer: list all states)


  1. Are you aware that in early 2016 state Medicaid and CHIP agencies will be required to file an information return with the IRS and furnish a copy to the individual that will report coverage information for each enrollee for calendar year 2015? (Answers: Yes, No)


  1. Have you begun planning for implementation of the information reporting requirement? (Answers: Yes, No)


  1. How far along is your state in development of an information reporting system that will allow it to file Forms 1095-B with the IRS and furnish a copy to the recipient? On a scale of 0 (not started) to 5 (complete)


  1. What is your biggest area of concern with implementation? (Answer options: IT capabilities, operational capabilities, funding, other)



  1. Has your state used any resources from the ACA Information Returns (AIR) program office, including the AIR technical webinars or AIR website? (Answer: Yes, No, Unsure)


  1. What is your level of confidence that you will be prepared to submit information returns in 2016? On a scale of 0 (no confidence) to 5 (fully confident)



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