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

Issue Date: January 30, 2019

Program Area: CSR Reconciliation (CSR)

Question: Will issuers continue to receive the cost-sharing reduction portion of advance payments for adjustments to 2014 and 2015 benefits after CSR reconciliation is complete?

Answer: Issuers will not receive any cost-sharing portion of advance payments after CSRs for the applicable benefit year have been reconciled. CMS intends to provide guidance on reconciling CSRs provided but not re-adjudicated in time to be included in the regular annual reconciliation cycle.

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