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CSR Reconciliation (CSR) FAQ

Guidance for FAQ regarding Cost Sharing Reduction (CSR) Reconciliation and Data Submission

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

Issue Date: January 30, 2019

Program Area: CSR Reconciliation (CSR)

Question: On the Policy Summary Record, one of the required fields is 'Actuarial value amount of the Standard Plan.' Can a percentage be entered for this variable? How many decimal places should be displayed?

Answer: Enter a decimal, not a percentage for this variable. In the final version of the CSR reconciliation Issuer to MIDAS Inbound Specification document that CMS will release, this data element will have a minimum of 4 characters and a maximum of 12 characters (Note: CMS counts the leading zero and the decimal point as characters). For example, if the issuer knows this value as 80%, they would enter that as 0.80.

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