Risk Adjustment (RA) FAQ
Guidance for FAQ regarding Risk Adjustment Operations and Policy
Program Area: Risk Adjustment (RA)
Question: How does delayed submission of the required data files affect any payment transfers that issuer may receive?
Answer: Risk adjustment payment transfers will be calculated by June 30th of the year following the applicable benefit year. A delay in the submission of initial files to the External Data Gathering Environment (EDGE) server will not impact risk adjustment payment transfers; however, all data must be submitted by April 30th of the year following the applicable benefit year. We will provide additional information on risk adjustment payment transfers in a future risk adjustment webinar.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: December 02, 2014
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