What cost data should be submitted?

Cost Preparers must consider several things when determining what cost data to submit:

• Cost reporting data elements vary depending on whether costs are being reported for interim or final payment, as well as whether Gross Retiree Costs or Estimated Premiums are being reported.
• When determining what Gross Retiree Cost Data to submit, keep in mind that cost data may only be submitted for the Qualifying Covered Retirees (QCRs), Benefit Options, and subsidy periods listed on the Covered Retiree List (CRL).
• When determining eligible costs, there are three main criteria to determine if drug costs for a retiree are eligible for subsidy: drug costs must be covered under Medicare Part D, drug costs must be incurred within the Subsidy Period Effective and Termination Dates for the retiree, and drug costs must be paid.

Refer to What Cost Data to Submit for additional guidelines for preparing cost data.