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

Issue Date: January 30, 2019

Program Area: CSR Reconciliation (CSR)

Question: What should issuers do if they wish to return advance payments?

Answer: If an issuer wishes to return the entire Cost-sharing Reduction (CSR) portion of advance payments for all its Qualified Health Plans (QHPs), please email CMS as CSRreconciliationattestations@cms.hhs.gov under the email subject line: RETURN ADVANCE PAYMENT FOR HIOS ID [XXXX]. Please include your 5-digit HIOS issuer ID in the email subject line. In this event, you do not have to submit a cost-sharing reduction reconciliation report for that HIOS ID. If the issuer wishes to return advance payment for some but not all its QHPs, the issuer may simply omit the particular plan or policy information for plans and policies for which it will be returning advance payments when submitting its full CSR reconciliation data file.

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