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

Issue Date: January 30, 2019

Program Area: CSR Reconciliation (CSR)

Question: For the 2014 Benefit Year, issuers of zero (0) and limited cost-sharing plans were permitted to opt out of providing the data CMS required to estimate advance payments for CSRs provided. If an issuer did not submit data or receive advance payment in 2014, but provided CSRs to American Indians/Alaska Natives as required, should the issuer enter "zero" for advance payment?

Answer: Any issuer that did not receive advance payment from CMS but who provided CSR should enter zero (0) in the issuer summary record (109) "Total CSR Amount Advanced to the Issuer by CMS." Such issuers should complete all other data fields like any other issuer, to substantiate CSRs provided.

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