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QAR Alerts Glossary

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Interim Cost Reporting Open Scenarios

101

No Reports: Interim Cost Reporting Open
Interim Cost Reporting is open for the Application, but an Interim Cost Report has not been submitted for the Benefit Option by the Cost Reporter source.

102

No Reports: Interim Cost Reporting Open: Multiple Reporting Sources Assigned to Benefit Option
This alert is the same as Alert 101 with the addition of the multiple source alerts.

103

All Interim Reports Rejected: Interim Cost Reporting Open
Interim Cost Reporting is currently open for the Application, but all Interim Cost Reports submitted by the Cost Reporter source were rejected for the Benefit Option. Reference the Cost Reporting Exception Detail Report for specific errors.

104

All Interim Reports Rejected: Interim Cost Reporting Open: Multiple Reporting Sources Assigned to Benefit Option
This alert is the same as Alert 103 with the addition of the multiple source alerts.

105

Last Interim Report Rejected with change in Allowable Retiree Costs: Interim Cost Reporting Open
Interim Cost Reporting is currently open for the Application, but the last Interim Cost Report submitted for the Benefit Option by the Cost Reporter source was rejected. Total Allowable Retiree Costs calculated from costs found in the rejected Cost Report differs from the total Allowable Retiree Costs calculated based on the last accepted Cost Report. Reference the Cost Reporting Exception Detail Report for specific errors.

106

Last Interim Report Rejected with no change in Allowable Retiree Costs: Interim Cost Reporting Open
Interim Cost Reporting is currently open for the Application, but the last Interim Cost Report submitted for the Benefit Option by the Cost Reporter source was rejected. Total Allowable Retiree Costs calculated from costs found in the rejected Cost Report does not differ from the total Allowable Retiree Costs calculated based on the last accepted Cost Report. Reference the Cost Reporting Exception Detail Report for specific errors.

107

Last Interim Report Rejected with change in Allowable Retiree Costs: Interim Cost Reporting Open: Multiple Reporting Sources Assigned to Benefit Option
This alert is the same as Alert 105 with the addition of the multiple source alerts.

108

Last Interim Report Rejected with no change in Allowable Retiree Costs: Interim Cost Reporting Open: Multiple Reporting Sources Assigned to Benefit Option
This alert is the same as Alert 106 with the addition of the multiple source alerts.

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Interim Cost Reporting Temporarily Closed Scenarios

109

No Reports: Interim Cost Reporting Temporarily Closed: Payment Setup is Incomplete
Interim Cost Reporting is temporarily closed for the Application because Payment Setup is incomplete. An Interim Cost Report has not been submitted for the Benefit Option by the Cost Reporter source.

110

All Cost Reports Rejected: Interim Cost Reporting Temporarily Closed: Payment Setup is Incomplete
Interim Cost Reporting is temporarily closed for the Application because Payment Setup is incomplete. All Interim Cost Reports submitted by the Cost Reporter source were rejected for the Benefit Option. Reference the Cost Reporting Exception Detail Report for specific errors.

111

Last Cost Report Rejected with change in Allowable Retiree Costs: Interim Cost Reporting Temporarily Closed: Payment Setup is Incomplete
Interim Cost Reporting is temporarily closed for the Application because Payment Setup is incomplete. The last Cost Report submitted by the Cost Reporter source for the Benefit Option was rejected. Total Allowable Retiree Costs calculated from costs found in the rejected Cost Report differs from the total Allowable Retiree Costs calculated based on the last accepted Cost Report. Reference the Cost Reporting Exception Detail Report for specific errors.

112

Last Cost Report Rejected with no change in Allowable Retiree Costs: Interim Cost Reporting Temporarily Closed: Payment Setup is Incomplete
Interim Cost Reporting is temporarily closed for the Application because Payment Setup is incomplete. The last Cost Report submitted by the Cost Reporter source for the Benefit Option was rejected. Total Allowable Retiree Costs calculated from costs found in the rejected Cost Report does not differ from the total Allowable Retiree Costs calculated based on the last accepted Cost Report. Reference the Cost Reporting Exception Detail Report for specific errors.

113

Interim Cost Reporting Temporarily Closed: Payment Setup is Incomplete
Interim Cost Reporting is temporarily closed for the Application because Payment Setup is incomplete.
The latest Cost Report submitted by the Cost Reporter for the Benefit Option was not rejected.

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Interim Closed: Reconciliation Initiated - Final not yet opened

114

Last Cost Report Rejected: Reconciliation Initiated - Final Cost Reporting not open
Interim Cost Reporting is closed because Reconciliation has been initiated but final cost reporting is not yet opened. The last Cost Report submitted by the Cost Reporter source for the Benefit Option was rejected. Reference the Cost Reporting Exception Detail Report for specific errors.

115

Reconciliation Initiated - Final Cost Reporting not open
Reconciliation has been initiated but final cost reporting is not open. No Final Cost Reports have been submitted by the Cost Reporter source for the Benefit Option.

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Final Cost Reporting Open Scenarios

116

No Final Reports: Final Cost Reporting Open
Final cost reporting is open for the Application, but a Final Cost Report has not been submitted for the Benefit Option by the Cost Reporter source.

117

No Final Reports: Final Cost Reporting Open: Multiple Reporting Sources Assigned to Benefit Option
This alert is the same as Alert 116 with the addition of the multiple source alerts.

118

All Final Reports Rejected by RDS Center: Final Cost Reporting Open
Final cost reporting is currently open for the Application, but all Final Cost Reports submitted by the Cost Reporter source were rejected for the Benefit Option. Reference the Cost Reporting Exception Detail Report for specific errors.

119

All Final Reports Rejected by RDS Center: Final Cost Reporting Open: Multiple Reporting Sources Assigned to Benefit Option
This alert is the same as Alert 118 with the addition of the multiple source alerts.

120

Last Final Cost Report Rejected by RDS Center with change in Allowable Retiree Costs: Final Cost Reporting Open
Final cost reporting is currently open for the Application, but the last Final Cost Report submitted for the Benefit Option by the Cost Reporter source was rejected. Total Allowable Retiree Costs calculated from costs found in the rejected Cost Report differ from the total Allowable Retiree Costs calculated from the last accepted Final Cost Report. Reference the Cost Reporting Exception Detail Report for specific errors.

121

Last Final Cost Report Rejected by RDS Center with no change in Allowable Retiree Costs: Final Cost Reporting Open
Final cost reporting is currently open for the Application, but the last Final Cost Report submitted for the Benefit Option by the Cost Reporter source was rejected. Total Allowable Retiree Costs calculated from costs found in the rejected Cost Report does not differ from the total Allowable Retiree Costs calculated from the last accepted Final Cost Report. Reference the Cost Reporting Exception Detail Report for specific errors.

122

Last Final Cost Report Rejected by RDS Center with change in Allowable Retiree Costs: Final Cost Reporting Open: Multiple Reporting Sources Assigned to Benefit Option
This alert is the same as Alert 120 with the addition of the multiple source alerts.

123

Last Final Cost Report Rejected by RDS Center with no change in Allowable Retiree Costs: Final Cost Reporting Open: Multiple Reporting Sources Assigned to Benefit Option
This alert is the same as Alert 121 with the addition of the multiple source alerts.

124

Final Cost Report Rejected by Plan Sponsor: Final Cost Reporting Open
Final cost reporting is again open. The last accepted Final Cost Report submitted by the Cost Reporter source for the Benefit Option was rejected by the Plan Sponsor.

125

Final Cost Report Rejected by Plan Sponsor: Final Cost Reporting Open: Multiple Reporting Sources Assigned to Benefit Option
This alert is the same as Alert 124 with the addition of the multiple source alerts.

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Final Cost Reporting Temporarily Closed Scenarios

130

No Final Reports: Final Cost Reporting Temporarily Closed: Application status is not in Reconciliation Cost Reporting Opened
Final cost reporting is temporarily closed for the Application. A Final Cost Report has not been submitted for the Benefit Option by the Cost Reporter source.

131

No Final Reports: Final Cost Reporting Temporarily Closed: Payment Setup is incomplete
Final cost reporting is temporarily closed for the Application because Payment Setup is incomplete. Final Cost Report has not been submitted for the Benefit Option by the Cost Reporter source.

132

All Final Cost Reports Rejected by RDS Center: Final Cost Reporting Temporarily Closed: Application status is not Reconciliation Cost Reporting Opened
Final cost reporting is temporarily closed for the Application. All Final Cost Reports submitted by the Cost Reporter source were rejected for the Benefit Option. Reference the Cost Reporting Exception Detail Report for specific errors.

133

All Final Cost Reports Rejected by RDS Center: Final Cost Reporting Temporarily Closed: Payment Setup is incomplete
Final cost reporting is temporarily closed for the Application because Payment Setup is incomplete. All Final Cost Reports submitted by the Cost Reporter source were rejected for the Benefit Option. Reference the Cost Reporting Exception Detail Report for specific errors.

134

Last Cost Report Rejected by RDS Center: Final Cost Reporting Temporarily Closed: Application status is not Reconciliation Cost Reporting Opened
Final cost reporting is temporarily closed for the Application. The last Final Cost Report submitted by the Cost Reporter source was rejected for the Benefit Option. Reference the Cost Reporting Exception Detail Report for specific errors.

135

Last Cost Report Rejected by RDS Center: Final Cost Reporting Temporarily Closed: Payment Setup is incomplete
Final cost reporting is temporarily closed for the Application because Payment Setup is incomplete. The last Final Cost Report submitted by the Cost Reporter source was rejected for the Benefit Option. Reference the Cost Reporting Exception Detail Report for specific errors.

136

Final Cost Reporting Temporarily Closed: Application status is not Reconciliation Cost Reporting Opened
Final cost reporting is temporarily closed for the Application. The last Final Cost Report submitted by the Cost Reporter source for the Benefit Option was accepted.

137

Final Cost Reporting Temporarily Closed: Payment Setup is incomplete
Final cost reporting is temporarily closed for the Application because Payment Setup is incomplete. The last Final Cost Report submitted by the Cost Reporter source for the Benefit Option was accepted.

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Other Scenarios

138

Reconciliation Deadline Exceeded without Completing Reconciliation
The Application has passed its Reconciliation Deadline and Step 12: Review and Submit Reconciliation Payment Request is not complete.

139

Application in Appeal
The Application is in a status indicating that an Appeal has been requested or is under review.

140

Application Requires Resign
The Plan Sponsor must re-sign the Plan Sponsor Agreement. Cost Reports are not accepted while the Application is in this status.

141

Application is in Submitted Status
The Application has been submitted to CMS' RDS Center. This Application status occurs when the Plan Sponsor has signed the Plan Sponsor Agreement. Cost Reports are not accepted while the Application is in this status.

142

Application is in Application Error status
The Application has moved into the “Application Error” status within the last 30 days. Cost Reports are not accepted while the Application is in this status.

143

Application is in Withdrawn status
The Application has been withdrawn from the RDS Program within the last 30 days. Cost Reports are not accepted for this Application.

144

Application is in Denied status
The Application has been denied within the last 30 days. Cost Reports are not accepted for this Application.

145

Application is in Incomplete status
The Application has moved into the “Incomplete” status within the last 30 days. Cost Reports are not accepted while the Application is in this status.

146

Application is in Deleted status
The Application has moved into the “Deleted” status within the last 30 days. Cost Reports are not accepted for this Application.

147

Last Interim Cost Report Rejected: Vendor not assigned to Benefit Option
The Application is approved, and Interim Reporting is open. The Vendor has submitted a Cost Report, but the Vendor has not been assigned to the Application or the Benefit Option. The Vendor and Plan Sponsor are alerted that the Vendor's Interim Cost Report has been rejected.

148

Last Final Cost Report Rejected: Vendor not assigned to Benefit Option
The Application is in Reconciliation. The Vendor has submitted a Cost Report but has not been assigned to the Application or Benefit Option. The Vendor and Plan Sponsor are alerted that the Vendor's Final Cost Report has been rejected.

149

Authorized Representative has not been verified
The Authorized Representative has not been verified on the Application.

150

Plan Sponsor has opted out of displaying their information
The Plan Sponsor has opted out of having their information displayed on the Vendor Composite’s Quick Access Reports.

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