Required Federal Data Reporting

2022 Pharmacy Reporting Under The Consolidated Appropriations Act (RxDC)

To comply with the Consolidated Appropriations Act (CAA), Excellus will complete all required pharmacy benefit and prescription drug cost reporting on behalf of fully insured groups (small and large) and self-funded groups with medical and pharmacy coverage with Excellus BlueCross BlueShield for the 2022 reference year.

New for 2022 Reporting

Centers for Medicaid & Medicare Systems (CMS) is requiring reporting entities to include average premiums paid by employers vs members in the D1 report. This applies to both fully insured (small and large group) and self-funded health plans.

Excellus has developed a web form where all employer groups can submit the following information to be included in 2022 reporting:

  • Total dollar amount the employer contributed for group medical and pharmacy insurance
  • Form 5500 numbers
  • For self-funded/minimum premium plans who have both medical and pharmacy with Excellus BlueCross BlueShield:
    • Third Party Administrator fees paid to parties other than Excellus BCBS
    • Stop Loss Premiums paid to carrier other than Excellus BCBS

The web form can be accessed and completed on the Employers area of Employers > Data Reporting > CAA Pharmacy Drug Reporting Form

The deadline to provide responses through the form for 2022 reporting is April 3, 2023.