www.cms.gov Open in urlscan Pro
2a02:26f0:3500:580::28a  Public Scan

Form analysis
2 forms found in the DOM

GET /search/cms

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POST https://public.govdelivery.com/accounts/USCMS/subscribers/qualify

<form aria-label="Enter your email address for email updates" accept-charset="UTF-8" action="https://public.govdelivery.com/accounts/USCMS/subscribers/qualify" id="email-footer-form" method="post"
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Centers for Medicare & Medicaid Services


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CMS.GOV MAIN MENU

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BREADCRUMB

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 * Programs and Initiatives
 * Other Insurance Protections
 * Prescription Drug Data Collection (RxDC)

CCIIO


PAGES IN THIS SECTION


 * PROGRAMS AND INITIATIVES

 * * Consumer Support and Information
   * In-Person Assistance in the Health Insurance Marketplaces
   * Health Insurance Market Reforms
   * Health Insurance Marketplaces
   * Insurance Programs
   * Other Insurance Protections
   * * COBRA
     * Mental Health Parity and Addiction Equity Act (MHPAEA)
     * Newborns' and Mothers' Health Protection Act (NMHPA)
     * Women's Health and Cancer Rights Act (WHCRA)
     * Prescription Drug Data Collection (RxDC)
     * Consolidated Appropriations Act, 2021 (CAA)
   * State Innovation Waivers
   * Premium Stabilization Programs
   * Employer Initiatives


RESOURCES

 * About Us
 * Data Resources
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 * Funding Opportunities
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 * Stakeholder Engagement
 * Training Resources


PRESCRIPTION DRUG DATA COLLECTION (RXDC)




Under Section 204 (of Title II, Division BB) of the Consolidated Appropriations
Act, 2021 (CAA),  insurance companies and employer-based health plans must
submit information about prescription drugs and health care spending. This data
submission is called the RxDC report. The Rx stands for prescription drug and
the DC stands for data collection.

The Centers for Medicare and Medicaid Services is collecting the RxDC report on
behalf of the Departments of Health and Human Services, the Department of Labor,
the Department of Treasury, and the Office of Personnel Management.


RESOURCES

 * RxDC reporting instructions (PDF)
 * RxDC templates and data dictionary (ZIP)
 * RxDC drug name and therapeutic class crosswalk (XLSX)
 * RxDC data validations (XLSX)
 * RxDC YouTube Playlist
 * Regulation
 * Frequently Asked Questions (PDF)


HIOS MANUALS

 * HIOS Portal User Manual (PDF)
 * HIOS Portal RxDC Quick Reference Guide (PDF)
 * RxDC HIOS Module User Manual (PDF)
 * Submit your data in the CMS Enterprise Portal


REGTAP

If you want to receive an email when the RxDC resources are updated, create a
Registration for Technical Assistance Portal (REGTAP) account at
https://regtap.cms.gov. Select the checkbox "Please send me updates for the
Consolidated Appropriations Act / No Surprises Act" in your account settings.


WHAT INFORMATION DO INSURANCE COMPANIES AND EMPLOYERS SUBMIT TO CMS?

The CAA requires insurance companies and employer-based health plans to submit
information about:

 * Spending on prescription drugs and health care services
 * Prescription drugs that account for the most spending
 * Drugs that are prescribed most frequently
 * Prescription drug rebates from drug manufacturers
 * Premiums and cost-sharing that patients pay


HOW WILL THIS INFORMATION BE USED?

The data submitted by insurance companies and employer-based health plans will
help to:

 * Identify major drivers of increases in prescription drug and health care
   spending
 * Understand how prescription drug rebates impact premiums and out-of-pocket
   costs
 * Promote transparency in prescription drug pricing


WHAT INFORMATION WILL BE PUBLICLY RELEASED?

We will publish findings about prescription drug pricing trends and the impact
of prescription drug rebates on patient out-of-pocket costs. You will be able to
download the report from this page or from the websites of the Department of
Labor or the Department of the Treasury.


 


UPDATES

 * March 5, 2020 Information Related to COVID–19 Individual and Small Group
   Market Insurance Coverage
 * March 12, 2020 FAQs on Essential Health Benefits Coverage and the Coronavirus
   (COVID-19)
 * March 18, 2020 FAQs on Catastrophic Plan Coverage and the Coronavirus Disease
   2019 (COVID-19)
 * March 24, 2020 FAQs on Availability and Usage of Telehealth Services through
   Private Health Insurance Coverage in Response to Coronavirus Disease 2019
   (COVID-19)
 * March 24, 2020 Payment and Grace Period Flexibilities Associated with the
   COVID-19 National Emergency
 * March 24, 2020 FAQs on Prescription Drugs and the Coronavirus Disease 2019
   (COVID-19) for Issuers Offering Health Insurance Coverage in the Individual
   and Small Group Markets
 * April 11, 2020 FAQs about Families First Coronavirus Response Act and the
   Coronavirus Aid, Relief, and Economic Security Act Implementation
   *This document was updated on April 15, 2020, to correct an error in footnote
   10 regarding the current end date of the public health emergency related to
   COVID 19.
 * April 13, 2020 Postponement of 2019 Benefit Year HHS-operated Risk Adjustment
   Data Validation (HHS-RADV)


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CMS & HHS WEBSITES CMS & HHS WEBSITES

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 * InsureKidsNow.gov
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 * HHS.gov/Open


ABOUT CMS ABOUT CMS

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TOOLS TOOLS

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HELPFUL LINKS HELPFUL LINKS

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 * Nondiscrimination & Accessibility
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USA GOVERNMENT SITES USA GOVERNMENT SITES

 * Freedom of Information Act
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 * Inspector General
 * USA.gov


CONNECT WITH CMS

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Medicare & Medicaid Services.

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