CMS Responses to Public Comments
CMS-10379
Rate Increase Disclosure and Review Reporting Requirements
A 30-day Federal Register Notice was published on June 17, 2016 (Vol. 81, No. 117, Page 39644)
The Centers for Medicare and Medicaid (CMS) received one written and one verbal comment related to CMS-10379, the 2017 Unified Rate Review instructions. The information presented below is a reconciliation of the comments.
Written Comment:
The Instructions should include the underlined language on page 14, which includes reference to “risk adjustment and risk corridors” in the line in the first full paragraph on that page:
"Start with premiums earned during the experience period, including the expected Risk Adjustment and Risk Corridor receivables or payables, to the extent they can be estimated. Subtract the actual or estimated MLR rebates incurred during the experience period.”
Response:
CMS has updated the instructions to include the requested language.
Verbal Comment:
CMS should update Section 5.1 and Section 5.2 to reflect the current process that issuers need to follow when changing a previously validated submission.
Response:
CMS has revised the language in both Sections 5.1 and 5.2 to reflect that fact that issuers no longer have to email CCIIO to request to have a HIOS submission unlocked. The language is now accurate, as issuers can contact their state regulator or CCIIO to unlock a previously validated HIOS submission.
Form 0938-1141 (Expiration: 08/19)
| File Type | application/msword |
| File Title | Thad C |
| Author | DHHS |
| Last Modified By | LISA CUOZZO |
| File Modified | 2016-08-09 |
| File Created | 2016-08-09 |