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

Issue Date: January 30, 2019

Program Area: CSR Reconciliation (CSR)

Question: For the field, Total Monthly Premium, it was stated on the February 10 webinar that this is not mandatory for our 2014/2015 submissions, should we default to 0.00 for each record? What is your expected value or do we leave it blank?

Answer: The version of the CSR Reconciliation Issuer to MIDAS Inbound Specification available on the CCIIO website lists Total Monthly premium (in the Policy Detail Record) and Total Annual Premium (in the Plan Summary Record) as Mandatory data elements. Issuers that participate in beta testing in February should input 0.00 for these data elements. However, CMS plans to change these to optional data elements prior to full issuer testing in March and before the open data submission window in April. At that time, issuers may leave that data element blank. Since the data file is pipe delimited in nature, the issuer would still need to populate the preceding and proceeding pipes.

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