Vendor Management, Payments, and Collections (VMPC) FAQ
Guidance for FAQ regarding Payment Processing and Other
Program Area: Vendor Management, Payments, and Collections (VMPC)
Question: At what point does CMS expect submitters to report member level detail? Will CMS pay issuers based on enrollment group level data as opposed to aggregate payments?
Answer: CMS does not intend to ask submitters to report member level detail using the template during this interim payment process. Once the system is fully functional, CMS will adjust the estimated payments made during this interim payment process with the actual enrollment group level data and make payments based on enrollment group level data.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: January 16, 2014
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