Mar 01, 2024
“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.”
Covered California for Small Business (CCSB) serves as an administrator of our 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 employer groups. However, CCSB has been actively engaged with their Health Plan Issuers to understand their approach to meeting the RxDC reporting requirements. Below find a summary of approaches taken by CCSB's three plans.
Blue Shield of California | (800) 559-5905: 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 is Friday, April 5, 2024 at 6:00 PM PST.
Kaiser Permanente | (800) 464-4000: Kaiser Permanente is compiling and submitting the required data on behalf of their employer groups.
Sharp Health Plan | (800) 359-2002: 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.
Contact your Amwins Connect Regional Sales Manager for more information.
