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Health Plan Options |
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This email is intended for producers with business in DE, PA, NENY, WNY, and WV. CAA PRESCRIPTION DRUG REPORTING MANDATE - NOTICE OF CLIENT ACTION REQUIRED Section 204 of the Consolidated Appropriations Act, 2021 (CAA) requires health insurance issuers and self-insured group health plans to submit information regarding prescription drug spending, health care spending, and enrollment to the Centers for Medicare and Medicaid Services (CMS) on an annual basis. This information must be submitted in specific file formats to CMS for the 2023 calendar year by June 1, 2024.
Highmark is requesting information to complete this reporting directly from our mutual clients via email over the following week. (Brokers may hear from Highmark Client Managers to assist with contacting some clients.) If employers want Highmark to report on their behalf, we’re requesting they complete the online survey by May 1, 2024. If the survey is not completed by May 1, 2024, client data will not be included in Highmark’s submission to CMS and clients will responsible for submitting data independently.
Please click on the links for a copy of the client email (including a link to the survey), a process overview, survey worksheet, and CMS RxDC homepage are included for your reference.
Please contact your Highmark Client Manager with any questions. |
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Highmark Inc. is an independent licensee of the Blue Cross Blue Shield Association. Insurance or benefit administration may be provided by or through Highmark Inc. or one of its affiliated Blue companies. Highmark Inc. d/b/a Highmark Blue Shield and certain of its affiliated Blue companies serve Blue Shield members in the 21 counties of central Pennsylvania. As a partner in joint operating agreements, Highmark Blue Shield also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Inc. or certain of its affiliated Blue companies serve Blue Cross Blue Shield members in the 29 counties of western Pennsylvania, 13 counties in northeast Pennsylvania, the state of West Virginia plus Washington County, Ohio, and the entire state of Delaware. Highmark Blue Cross Blue Shield of Western New York is a trade name of Highmark Western and Northeastern New York Inc., an independent licensee of the Blue Cross Blue Shield Association. Highmark Blue Shield of Northeastern New York (Highmark BSNENY) is a trade name of Highmark Western and Northeastern New York Inc., an independent licensee of the Blue Cross Blue Shield Association. |
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This email and any attachments contain important information about Highmark, including its products, customers and business processes, and may include information which Highmark considers to be confidential and proprietary ("the Highmark Information"). The Highmark Information is intended solely for the use of the individual or entity to which it is addressed, including employees of that entity with a need to access such information. Unauthorized use, disclosure or copying of the Highmark Information, including the posting of such information on a website or social media sites that can be accessed by third parties, is strictly prohibited.
® Highmark is a registered mark of Highmark Inc.
© 2016 Highmark Inc., All Rights Reserved
120 Fifth Avenue Pittsburgh, PA 15222 USA
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