April 14, 2023

Action Required: Average Monthly Premium Data is Due April 27
Applies to fully insured groups

Blue Cross and Blue Shield of Texas (BCBSTX) is assisting our fully insured, Blue Balance Funded^SM and Minimum Premium group customers with the Prescription Drug Data Collection (RxDC) Reporting to the Centers for Medicare & Medicaid Services (CMS) for the 2022 reference year. To complete this reporting requirement for our group customers, the account’s benefits administrator must provide us with some information.

Action required: These groups must submit both their average monthly premiums paid by members and by the employer for the 2022 reference year to BCBSTX by April 27. This submission can be completed in Blue Access for Employers^SM (BAE^SM) by the employer group or a broker (Primary Producer of Record or Delegated Producer with Maintenance Use).

Employer group contacts for active groups received instructions via email in March on how to submit this data to BCBSTX. Groups who have not submitted their data received reminder emails last week notifying them that the deadline for inclusion in BCBSTX’s RxDC submission was extended to April 27. The form and instructions are available by logging into BAE and clicking on Prescription Drug Data Collection under the Regulatory Data Collection section.

If this data is not submitted to BCBSTX by April 27, BCBSTX will not be able to include it in our RxDC submission to CMS. Since this data is required by CMS, any employer groups not included in the BCBSTX submission will need to submit their own average monthly premium data directly to CMS by June 1, 2023. Groups should refer to their own legal or regulatory counsel for any additional information on this requirement.

This data is not necessary for plans that are not required to submit RxDC reporting to CMS (i.e. stand-alone dental or vision, Medicare and retiree-only plans).

Please contact your BCBSTX account representative if you have any other questions.