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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: HHS said issuers must notify HHS of the methodology they will use for the 2015 benefit year by March 31, 2015. May the issuer elect to use the simplified methodology for the 2015 benefit year, but then use the standard methodology for 2014?

Answer: No. Under 45 CFR 156.430 (c)(3)(iii), a QHP issuer may not select the simplified methodology for a benefit year if the QHP issuer did not select the simplified methodology for the prior benefit year.

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

Issue Date: March 16, 2015

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