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Distributed Data Collection (DDC) for RA Including HCRP/EDGE Server FAQ

Guidance for FAQ regarding Edge Server Operations and Technical - Storage, Data Retention, Data Transfer

Program Area: Distributed Data Collection (DDC) for RA Including HCRP/EDGE Server

Question: For EDGE server processing of Risk Adjustment (RA) and Reinsurance (RI) data, will the Centers for Medicare & Medicaid Services (CMS) pull the data, or does the issuer push the data to CMS?

Answer: When CMS runs an estimate report, a script is sent to initiate the generation of the report. The report will generate on the issuer's EDGE server, and CMS will receive a summary report detailing plan-level information necessary for the calculation of RA and RI. CMS does not pull data for the purpose of running or generating risk scores or RI estimates.

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

Issue Date: November 18, 2014

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