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State Services

As employers, states are required to report the Group Health Plan coverage of Active employees and spouses on the IRS/SSA/CMS Data Match Questionnaire to comply with MSP rules.  States are able to participate in the Voluntary Data Sharing Agreement (VDSA) program.  Signing a VDSA satisfies employers' Data Match requirements.  It is a way of regularly providing MSP information to the CMS through a data exchange with the Coordination of Benefits (COB) Contractor.  The VDSA program has modified to exchange information about prescription drug coverage information for facilitation of the Part D benefit and to participate in the Retiree Drug Subsidy.

The CMS is currently consolidating the Parts A and B claims crossover Trading Partner Agreements with Medicare contractors into the Coordination of Benefits Agreement (COBA) program with the COB Contractor.  Agreements are negotiated and maintained between the CMS and supplemental health insurers, including Medicaid state agencies and their fiscal agents, for the exchange of enrollment and paid claims data. 

The CMS has developed a new data exchange similar to the VDSA program for State Pharmaceutical Assistance Programs (SPAPs) to coordinate with Part D.  For more information about this or other state coordination programs, please follow the appropriate link below.

If you are unable to find the information you need, contact us using our toll-free lines: 1-800-999-1118 or TTY/TDD: 1-800-318-8782 for the hearing and speech impaired. A representative will be available to assist you Monday through Friday, from 8:00 a.m. to 8:00 p.m., Eastern Time, except holidays.

Downloads

SPAP Data Sharing Agreement (PDF, 113KB)

SPAP User Guide (PDF, 526KB)

SPAP Implementation Questionnaire (PDF, 40KB)

Related Links Inside CMS

IRS/SSA/CMS Data Match

Employer Voluntary Data Sharing Agreements (VDSA)

Insurer Voluntary Data Sharing Agreements (VDSA)

Coordination of Benefits Agreements (COBA)

Retiree Drug Subsidy Program (RDS)

Overview of MMA for States
Related Links Outside CMSExternal Linking Policy

There are no Related Links Outside CMS

 

Page Last Modified: 12/04/2008 3:51:24 PM
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