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

Issue Date: September 11, 2015

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

Question: Is the Preliminary Payment Report (PPR) considered an invoice for Small Business Health Options Program (SHOP) Issuers who do not participate in the Individual Market?

Answer: PPR is not an invoice. The purpose of the PPR is to provide Issuers with payment and charge information prior to netting, usually by the 15th of month. The Payee Information Report (PNR), also delivered to issuers usually by the 15th of the month, will provide issuers with any netting that occurred with the PPR data and any outstanding balances from previous payment cycles.

HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov.

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.