Q & A on Medical Loss Ratio Reporting and Rebate Requirements

CCIIO issues technical guidance in the form of Qs and As on the medical loss ratio reporting and rebate requirements.

Document Excerpt

The purpose of this bulletin is to supplement Q&A #18 in the July 18, 2011 CCIIO Technical Guidance1 and other prior guidance2 regarding the employee counting method for determining market size for purposes of Medical Loss Ratio (MLR) reporting and calculation requirements under section 2718 of the Public Health Service Act (PHS Act).

Link

https://www.cms.gov/CCIIO/Resources/Regulations-and-Guidance/Downloads/MLR-Guidance-Employee-Counting-Method-2018.pdf

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