Covered California for Small Business (CCSB) serves as an administrator of their participating Health Plan Issuers and is not an insurance company nor an employer-based health plan. Therefore, CCSB is not subject to RxDC data collection requirements on behalf of their employer groups. They have, however, been actively engaged with their Health Plan Issuers to understand their approach to meeting the RxDC reporting requirements.
Blue Shield of California issued a Broker Alert detailing instructions for the submission of group data via an intake form. The deadline for the submission of this form was March 31st. Employer groups who missed the deadline are now responsible for submitting their data directly to CMS by June 1, 2023.
Kaiser Permanente is compiling and submitting the required data on behalf of their employer groups.
Sharp Health Plan will be contacting their employer groups directly to obtain the required information. In addition, they will be sending a broker and employer alert informing all brokers and CCSB employers of the RxDC reporting requirement.
CCSB's Small Business Service Center is available to help with questions at (855) 777-6782.
Contact your Amwins Connect Regional Sales Manager for more information.