2/21/2025
As part of the No Surprises Act (NSA) under the Consolidated Appropriations Act, 2021 (CAA), health plans are required to submit prescription drug and health care spending data to the:
This prescription drug data submission, known as the RxDC report, is gathered by the Centers for Medicare and Medicaid Services (CMS).
Key reporting details:
What Health Net of California, Inc. (Health Net) is Doing
More information click here.
- Department of Labor
- Health and Human Services
- Treasury
- Office of Personnel Management
This prescription drug data submission, known as the RxDC report, is gathered by the Centers for Medicare and Medicaid Services (CMS).
Key reporting details:
- The RxDC report is due each year – beginning December 27, 2022 (for reference years 2020 and 2021) – and by June 1 of each subsequent year.
- The 2024 RxDC report is due by June 1, 2025.
What Health Net of California, Inc. (Health Net) is Doing
- Health Net successfully filed the 2023 RxDC report on behalf of employer groups before June 1, 2024.
- Health Net will meet all regulatory obligations for 2024 reporting due June 1, 2025.
- The Plan will not require any data from employer groups to complete Plan List (P2) and Data File (D1) submissions on behalf of clients.
- The Plan will not issue communications to members, groups regarding RxDC filing (confirmation of filing completion, compliance, etc.), as this is not a regulatory requirement.
- The Plan will not establish contracts with groups regarding RxDC reporting, as this is not required by regulations.
- Employer groups do not need to take any action or pay any fees to Health Net for this reporting.
More information click here.
Source: Health Net