Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: May 16, 2016

Program Area: ACA Financial Appeals (ACA FA)

Question: Should issuers report that the issuer received a quality outlier notice from the Centers for Medicare & Medicaid Services (CMS), even if that notice has been resolved?

Answer: Yes, issuers should indicate whether they have received a quality outlier notice at any point in the current benefit year, if the issuer is filing a discrepancy. However, if the issuer does not have any discrepancies then this information is not required to complete the attestation.

HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov.

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.