Common use of Premium and Cost Sharing Adjustment Clause in Contracts

Premium and Cost Sharing Adjustment. Premiums and other applicable cost sharing contributions from enrollees that are collected by the State from enrollees under the Demonstration shall be reported to CMS each quarter on Form CMS-64 Summary Sheet line 9.D, columns A and B. In order to assure that the Demonstration is properly credited with premium collections, premium collections (both total computable and Federal share) should also be reported on the CMS-64 Narrative. The State should include these section 1115 premium collections as a manual adjustment (decrease) to the Demonstration’s actual expenditures on a quarterly basis.

Premium and Cost Sharing Adjustment. Premiums and other applicable cost sharing contributions from enrollees that are collected by the State state from enrollees under the Demonstration demonstration shall be reported to CMS each quarter on Form CMS-64 Summary Sheet line 9.D, columns A and B. In order to assure that the Demonstration demonstration is properly credited with premium collections, premium collections (both total computable and Federal share) should also be reported on the CMS-64 Narrative. The State state should include these section 1115 premium collections as a manual adjustment (decrease) to the Demonstrationdemonstration’s actual expenditures on a quarterly basis.