Consolidated Appropriations Act – Drug Cost Reporting

As previously communicated by Araya, the Federal government passed the above Act in 2020. This act requires all self-insured health plans to report on pharmacy benefits and drug costs to HHS. Recently, CMS updated the reporting instructions and provided additional guidance. The initial reports need to be filed by December 27, 2022 for plan years 2020 and 2021. For 2022 and beyond, reports will need to be submitted no later than June 1st, in the following year.

Araya will be offering two options for providing pharmacy data elements required by this regulation to support our clients in compliance with this new regulation.

Direct Submission – For this option, Araya will provide data files D3-D8 as well as the Narrative Response File, directly to HHS
Indirect Reporting – For this option, Araya will provide the same data elements to the client, their TPA or an outside reporting company of the clients choice.

Araya will require the following information to set up the reporting for your data. Please complete the following information:

Your Organization Information

Your Company Name:(Required)

Primary Contact for Reporting(Required)

First Last

Primary Contact Phone Number(Required)

Primary Contact Email(Required)

Secondary Contact for Reporting

First Last

Secondary Contact Phone Number

Secondary Contact Email

How would you like Araya to submit your data?(Required)

Plan Information

Plan Sponsor(Required)

Plan Sponsor EIN(Required)

Plan Contact Name (If different from Primary Contact)(Required)

First Last

Plan Contact Email(Required)

Plan Contact Phone Number(Required)

TPA / Outside Agency (OA) Information

TPA/OA name(Required)

TPA/OA EIN(Required)

TPA/OA Contact Name(Required)

First Last

TPA/OA Contact Email(Required)

TPA/OA Contact Phone Number(Required)

Group Health Information

Group Health Plan Name(Required)

5500 Plan Number(Required)

Please complete the below for each plan year spanning the start of January 2020 through the end of December 2021. if you were not on a plan with Araya during a given year, enter January 1st for the year start and year end and 0 for the Membership.

2020 Plan Year Start Date(Required)

2020 Plan Year End Date(Required)

Membership on 12/31/2020(Required)

2021 Plan Year Start Date(Required)

2021 Plan Year End Date(Required)

Membership on 12/31/2021(Required)

Araya Pharmacy Benefit Management

Consolidated Appropriations Act – Drug Cost Reporting

Your Organization Information

Plan Information

TPA / Outside Agency (OA) Information

Group Health Information

Araya Pharmacy Benefit Management

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