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

Issue Date: February 05, 2020

Program Area: Payment Policy and Financial Management Group External Audits (PPFMG EA)

Question: How should grace periods be reported in the desk audit file?

Answer: The desk audit file should only include enrollment and payment data for the first month of an exhausted grace period. For example, if a subscriber's enrollment was effectuated in January, but they did not submit payment for February through April, the desk audit file should only include enrollment and payment data for January and February.

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