Feb 06, 2025
As part of RxDC reporting under the Consolidated Appropriations Act (CAA), 2021, Kaiser Permanente is required to submit information on prescription drugs and healthcare spending to CMS. To help ensure compliance with the reporting requirements, employer groups must provide the following information:
- Employer Identification Number (EIN)
- Form 5500 Plan Number, if applicable (ERISA plans only)
- Average monthly premium that is paid by employee/member
- Average monthly premium that is paid by the employer/group
The monthly newsletters from Marketing and the Broker Blast communicated the RxDC outreach and provided access to the account.kp.org page containing the survey link and associated FAQ's. There will be no additional email communication sent to contract signers outside of the monthly newsletters. The initial RxDC communication was sent on January 16.
The RxDC survey form on account.kp.org went live on February 1. The survey link will be available until March 31.
Kaiser Permanente plans to submit all applicable reports and required narrative responses for all employer groups to CMS by the June 1 deadline.
FAQ
The contract signer is not the person who is completing the survey.
Anyone designated by the contract signer may complete the survey. There is no sign-in required to access the survey at account.kp.org.
What should an employer do if they get an error message on one of the questions but are not sure what needs to be fixed/changed?
In the Qualtrics survey, the error messages appear above the question. The submitter should note the location of the error message and ensure that the data entered follows the validation rules and that they have removed all unnecessary spaces and special characters in the data field.
Recipient made an error on the survey and needs to resubmit.
The recipient must complete another survey using the same link. Only the most recently completed survey will be used in the final data.
What should employer groups do if they miss Kaiser Permanente’s deadline to submit average monthly premium data?
The group can submit the data for average monthly premium directly to CMS through HIOS. If a group wants to submit the data directly to CMS, they should check out the RxDC webpage at cms.gov. It is also recommended that the group should read through the reporting instructions. Sections 1 through 3 of the reporting instructions explain the reporting and submission process. The instructions for P2 are in section 4.2 and the instructions for D1 for average monthly premium paid by members and average monthly premium paid by employers are in section 6.1. Templates for P2 and D1 can also be downloaded from CMS RxDC webpage.
Will Kaiser Permanente accept late submissions and/or corrections?
No, given the data compilation, cleanup, and aggregation needed after Kaiser Permanente receives the data, any requests for extensions or corrections beyond the published due date will not be accepted. aggregation.
