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{"DID":"crit34ee5c","Sites":"CSSC","Start Date":"12-30-2021 08:06","End Date":"01-01-2022 11:06","Content":"CSSC Operations will be closed Friday, December 31, 2021 in observance of the New Year's Day holiday. The Front-End Systems (FERAS, PDFS, and EDFES) will be available during this time for RAPS, PDE, Medicare Encounter and Medicare-Medicaid data submissions.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n"}, {"DID":"crit3bd4c4","Sites":"CSSC","Start Date":"10-20-2023 15:03","End Date":"10-21-2023 15:03","Content":"Customers may experience intermittent connectivity issues when trying to connect to the front-end system. We are currently working to correct these issues and will remove this status once this matter has been resolved.","URL":"","Target":null,"Color":"yellow","Mode":"Standard\n"}, {"DID":"critb2e1dc","Sites":"CSSC","Start Date":"01-14-2022 07:22","End Date":"01-17-2022 21:22","Content":"CSSC Operations will be closed Monday, January 17th, 2022 in observance of the MLK federal holiday. The Front-End Systems (FERAS, PDFS, and EDFES) will be available during this time for RAPS, PDE, Medicare Encounter and Medicare-Medicaid data submissions.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n"}

Encounter and Risk Adjustment Program (Part C)

This page provides valuable CMS guidance, materials and information for the successful electronic submission of encounter and risk adjustment data.

For convenient navigation, the combined content of each sub-category located on the left side of the page is provided below.

FTP and Website Server Issues Risk Adjustment for EDS and RAPS User Group - December 19, 2019 Password Changes for Secure File Transfer Protocol (SFTP) Users Only Update - Value Code A2 Update: ICN Assignments Enhancement System Status - October 28, 2018 ICN Assignments Enhancement File Transfer Protocol (FTP) port 2021 Password Changes for Secure File Transfer Protocol (SFTP) Users Only Risk Adjustment for EDS and RAPS User Group - June 20, 2019 Risk Adjustment for EDS and RAPS User Group - February 21, 2019 Risk Adjustment for EDS and RAPS User Group - January 18, 2018 Risk Adjustment for EDS and RAPS User Group - April 19, 2018 Password Changes for File Transfer Protocol (FTP) Command Line Users Only System Status - June 30, 2017 REVISED: Medicare Advantage & Part D Communications Handbook System Status - September 10, 2017 System Status - July 29, 2018 System Status - August 27, 2017 REVISED: Risk Adjustment for EDS and RAPS User Group - January 17, 2019 Front-End Systems Status Update FTP and Web Server Issues 277CA Response Reports Delimiter REVISED: Risk Adjustment for EDS and RAPS User Group - June 20, 2019 Encounter Data (ED) and RAPS Webinar Topics Index Request for Input – Risk Adjustment Reports – Model Output Report (MOR) and MAO-004 Report Password Changes for Secure File Transfer Protocol (SFTP) Users Only CORRECTION: Password Changes for Secure File Transfer Protocol (SFTP) Users Only REVISED: Medicare Advantage & Part D Communications Handbook SFTP Users Only: Password Updates Update - Condition Code P1 Reminder: SFTP Transition and Front-End Website Decommission 8/4/2018 Encounter Data Submission and Processing Guide - Version 2.0 Risk Adjustment for EDS and RAPS User Group - August 23, 2018 MAO-002 Edit 02110 - Beneficiary Member ID Not on File REVISED: Risk Adjustment for EDS and RAPS User Group - May 17, 2018 SFTP/TIBCO Report Naming Conventions CSSC Operations Website Reorganization Transition to Secure File Transfer Protocol (SFTP)Password Changes for File Transfer Protocol (FTP) Users Only System Status - October 29, 2017 SFTP and Website Server Issues Front-End Systems Password Changes System Upgrade - June 25, 2017 RAPS Format Effective 2017 Password Changes for Secure File Transfer Protocol (SFTP) Users Only Encounter Data Files - Delimiters Submission Deadline Reminder System Status - October 9, 2019 Risk Adjustment for EDS and RAPS User Group - March 23, 2017 Updated - Risk Adjustment for EDS and RAPS User Group - March 23, 2017 RAPS Submission Cutoff Time Change Risk Adjustment for EDS and RAPS User Group - January 19, 2017 Risk Adjustment for EDS and RAPS User Group Q&As - November 17, 2016 Risk Adjustment for EDS and RAPS User Group Q&As - April 27, 2017 Redistribution of MAO-001 and MAO-002 Reports - 10/05/2017 Risk Adjustment for EDS and RAPS User Group - July 20, 2017 Risk Adjustment for EDS and RAPS User Group - August 17, 2017 Risk Adjustment Processing System Errors Risk Adjustment for EDS and RAPS User Group - April 27, 2017 RAPS System Status - May 26th thru May 29th REVISED: Risk Adjustment for EDS and RAPS User Group - July 19, 2018 RAPS Error Code 360 Risk Adjustment for EDS and RAPS User Group - July 19, 2018 Risk Adjustment for EDS and RAPS User Group - October 26, 2017 Risk Adjustment for EDS and RAPS User Group - May 18, 2017 Combined Common Edit Module (CCEM) Edit DTP=573 Update REVISED: Risk Adjustment for EDS and RAPS User Group - September 28, 2017 Risk Adjustment for EDS and RAPS User Group - June 15, 2017 REVISED: Risk Adjustment for EDS and RAPS User Group - April 19, 2018 Risk Adjustment for EDS and RAPS User Group - May 17, 2018 REVISED: Medicare Advantage & Part D Communications Handbook REVISED: Risk Adjustment for EDS and RAPS User Group - November 30, 2017 Risk Adjustment for EDS and RAPS User Group - February 22, 2018 Risk Adjustment for EDS and RAPS User Group Q&As - October 26, 2017 TIBCO Update - FTP Users Only ICN Assignments Enhancement Reminder REVISED: Risk Adjustment for EDS and RAPS User Group - November 1, 2018 Risk Adjustment for EDS and RAPS User Group - November 1, 2018 SFTP/TIBCO Report Naming Conventions - PDE and RAPS Submission Deadline Reminder Update - Type of Bill (TOB) 73X Password Changes for Secure File Transfer Protocol (SFTP) Users Only System Status: August 10th - August 12, 2018 System Status - March 13, 2019 Electronic Data Interchange (EDI) Translator Software Transition REVISED: Risk Adjustment for EDS and RAPS User Group - April 18, 2019 Correction: System Status - March 20, 2019 System Status: March 15th - March 17th Update: System Status: March 15th - March 17th Correction: 999 and 277CA Response Reports Format - SFTP Users Only Update to the MAO-001 Report REVISED: Risk Adjustment for EDS and RAPS User Group - August 15, 2019 Password Changes for Secure File Transfer Protocol (SFTP) Users Only REVISED: Medicare Advantage & Part D Communications Handbook SFTP Users Only: Password Issue Update TIBCO Transition Dates Risk Adjustment for EDS and RAPS User Group Q&As - August 25, 2016 Risk Adjustment for EDS and RAPS User Group - February 16, 2017 TIBCO Translator Transition Update Risk Adjustment for EDS and RAPS User Group Q&As - February and March 2017 SFTP and Website Servers are now available!Front-End Systems Issues FTP and Website Servers are now available!CSSC Operations website is unavailable CSSC Operations website is now available!Password Changes for Secure File Transfer Protocol (SFTP) Users Only REVISED: Risk Adjustment for EDS and RAPS User Group - December 19, 2019 Submission Deadline Reminder System Status - Upgrade Rescheduled to April 27, 2019 System Status - Websites and PRS Mailboxes Risk Adjustment for EDS and RAPS User Group - August 15, 2019 Password Changes for Secure File Transfer Protocol-SFTP Users Only MAO-001 Reports Correction UPDATE: System Status - SFTP Submitters Only CSSC Operations Enhanced Website Coming Soon!RAPS and PDE Submitter Login Validation – SFTP Submitters Only System Status - SFTP Submitters Only Submission Deadline Reminder EDPS Edit Codes 02240 and 02110 Value Codes Update Medicare Encounter Data and Risk Adjustment Data FAQs Acceptable Physician Specialty Types Effective Payment Year 2020 Encounter Data Processing System - Edits and EDR Resubmission Front-End Systems User Guides Updates Encounter Data Newsletter – Volume 4, Issue 1 Password Changes for Secure File Transfer Protocol (SFTP) Users Only Password Changes for Secure File Transfer Protocol (SFTP) Users Only Deactivation of Admitting Diagnosis Code Edit Encounter Data Processing System Hold - May 18, 2020 Encounter Data Processing System - Maintenance Activities Update Combined Common Edit Module (CCEM) Edit Spreadsheets Password Changes for Secure File Transfer Protocol - SFTP Users Only EDS and RAPS User Group Registration Computer Based Training Password Changes for Secure File Transfer Protocol - SFTP Users Only RAPS Duplicate Diagnosis Report Correction: System Status - December 5, 2020 System Status Reminder - December 5, 2020 Updated System Status - December 12, 2020 System Status - SFTP Submitters Only System Status - SFTP Submitters Only Corrected: Password Changes for Secure File Transfer Protocol (SFTP) Users Only System Status - Secure File Transfer Protocol (SFTP) Submitters Only Password Changes for Secure File Transfer Protocol (SFTP) Users Only System Status - February 13, 2021 Password Changes for Secure File Transfer Protocol (SFTP) Users Only System Status - May 15, 2021 Password Changes for Secure File Transfer Protocol (SFTP) Users Only EDPS Maintenance Encounter Data Processing System - Maintenance Activities Update Software Update for Connect:Direct Users Only RAPS Cumulative Plan Activity Report and the RAPS Monthly Plan Activity Report Corrections CMS Risk Adjustment Email Accounts Upgrade Password Changes for Secure File Transfer Protocol (SFTP) Users Only Software Update Reminder for Connect:Direct Users Only SFTP Password Reset Password Changes for Secure File Transfer Protocol (SFTP) Users Only System Status - October 10, 2021 Password Changes for Secure File Transfer Protocol (SFTP) Users Only Acceptable Physician Specialty Types Effective Payment Year 2022 Password Changes for Secure File Transfer Protocol (SFTP) Users Only Model Output Report and Data File User Guide Password Changes for Secure File Transfer Protocol - SFTP Users Only Risk Adjustment for EDS and RAPS User Group - November 30, 2017 SFTP Report Download Options New Encounter Data Certification Requirements SFTP Password Reset Process Change Report Restore Tool EDI Onboarding Process Change New Tools - MAO-002 Job Aid and Accessing Archived Reports Using the MARx UI Training Risk Adjustment for EDS and RAPS User Group Q&As - January 19, 2017 Risk Adjustment for EDS and RAPS User Group - April 18, 2019 Risk Adjustment for EDS and RAPS User Group - April 18, 2019 Encounter Data Processing System Maintenance EDPS Maintenance Complete Encounter Data Processing System Information Regarding Edit 00035 Encounter Data Processing System Maintenance Encounter Data Processing System Maintenance System Status - March 10 - 12, 2023 EDS and RAPS Operational User Group January 26, 2023 Reminder System Status - March 10 - 12, 2023 Acceptable Attachment File Extensions for Risk Adjustment Inquiries Encounter Data Processing System Maintenance Encounter Data Processing System Maintenance Front-End System Scheduled Maintenance Reminder of Existing Obligation to Submit Accurate Risk Adjustment Data Reminder to Submit Accurate Diagnosis Related Group (DRG) Codes Encounter Data Processing System Maintenance Encounter Data Processing System Maintenance Encounter Data Processing of Special Characters Encounter Data Processing System Maintenance Front-End System Maintenance Medicare Advantage (MA) Supplemental Dental Submission Update Updates for Risk Adjustment Inquiries to RiskAdjustmentOperations@cms.hhs.gov (RAO) and RiskAdjustmentPolicy@cms.hhs.gov (RAP) Mailboxes Reminder: Front-End System Maintenance Reminder - Medicare Advantage (MA) Supplemental Dental Submission Update Encounter Data System Edit 19005 Invalid Supplemental Benefit Details