CAA Pharmacy Drug Reporting Form

The 2021 Consolidated Appropriations Act (CAA) requires group and individual health plans to report annual data to the Department of Health & Human Services, the Department of Labor, and the Department of Treasury on drug utilization, spending, and rebates.

Reporting entities must include the average monthly premium paid by members and employers beginning with 2023 calendar year data.

How to Submit Information

To be successful, health plans need to know the amount of premium contributed by employers or other plan sponsors on behalf of members. For self-funded groups, the amount of premium paid should include claims costs, administrative fees and stop-loss premiums, if applicable.

 

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