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Vendor Management, Payments, and Collections (VMPC) FAQ

Guidance for FAQ regarding Vendor Management and Financial Information

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

Issue Date: June 20, 2016

Program Area: Vendor Management, Payments, and Collections (VMPC)

Question: Can health insurance companies make requests regarding the order in which their Issuer receive reimbursements stemming from the Religious Accommodation User Fee Reimbursement?

Answer: There is no process for issuers to directly request HHS to allocate the user fee adjustment to FFM issuers in a certain order. However, for FFM issuers in the same payee group, HHS allocates the adjustment across all FFM issuers in the payee group in a manner that maximizes the impact of the adjustment. As stated in a FAQ, available at: https://www.cms.gov/CCIIO/Resources/Forms-Reports-and-Other-Resources/Downloads/FT-UF-ReductionFAQ-061416-5CR-061416.pdf, FFM issuers that qualify to receive the adjustment, and that have unpaid adjustment amounts, may enter into an agreement with another FFM issuer in order to more quickly realize the full effect of the adjustment.

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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.