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

Issue Date: January 30, 2019

Program Area: CSR Reconciliation (CSR)

Question: On the Issuer Summary Record, one of the required fields is 'Reconciliation Methodology.' If we are using the Simplified Actuarial Value method for the entire submission, what text should we enter for this data element? Should we simply enter 'Simplified Actuarial Value'?

Answer: Please enter "SIMPLIFIED AV" if you are using the AV method exclusively for all plans being reported for CSR reconciliation. The requirements for the data element ID 110 'Reconciliation Methodology' can be found at the bottom of page 3 of the CSR Reconciliation Issuer to MIDAS Inbound Specification document.

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