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Evaluation of EDGE Data Submissions for the 2019 Benefit Year

Guidance for a document explains the processes CMS will use to evaluate issuers' EDGE server data provided for purposes of the risk adjustment program for the 2018 benefit year. CMS intended to evaluate the data in terms of its quality and quantity.

Download the Guidance Document

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

Issue Date: November 07, 2019

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.