Vendor Management, Payments, and Collections (VMPC) FAQ
Guidance for FAQ regarding Payment Processing and General Information
Program Area: Vendor Management, Payments, and Collections (VMPC)
Question: For the December template submission, an issuer reported $100 in APTC for an enrollment group effective 1/1. In January, the enrollment group's APTC retroactively changes effective 1/1 to $200. What amount does the issuer report for January and February for the January template submission?
Answer: The issuer should report $200 in the January restatement template and $200 in the February template. CMS will therefore subtract what was already paid for January ($100) from the restated amount for January ($200) to get the January payment ($100). Summed with February, this issuer will receive $300 in February for this enrollment group.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: January 16, 2014
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