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CSR Reconciliation (CSR) FAQ

Guidance for FAQ regarding Cost Sharing Reduction (CSR) Reconciliation and Data Submission

Final

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

Issue Date: March 11, 2016

Program Area: CSR Reconciliation (CSR)

Question: Please clarify Exchange Subscriber ID reporting requirements.

Answer: For the purpose of cost-sharing reduction reconciliation: If the issuer is aggregating policies in the same plan variation across a year, the issuer should report only one Subscriber ID associated with the member(for Data Element ID 302 "Exchange Assigned Subscriber ID" in the Policy Detail Record) and include only 1 Subscriber ID in the count of "Total number of Exchange Subscriber IDs in this plan variation for the benefit year" in the Plan Summary level.

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