Health Net 2024 RxDC Reporting Update
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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:
- 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.
Note: This is for informational purposes only – no action is required.
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 – FAQ
- What will be submitted?
- D1 – D8 files will be submitted.
- At the time of submitting D2, is the aggregate total reported under Health Net’s EIN
- Yes.
- If D2 is submitted as an aggregate, are the rest of the submissions also aggregated?
- Yes.
- Will Health Net submit a Narrative Response?
- Yes.
If you have questions about this communication, please contact your Health Net Account Representative.