Skip to Main Content

oc8f38lb2bdx~notused~CSSC Operations will be closed Monday, January 18, 2021 in observance of the Martin Luther King Jr. 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.~none~_blank~blue~01-12-2021 12:40~01-20-2021 06:00||oc8f38lb2bcc~notused~CSSC Operations will be closed Monday, May 31, 2021 in observance of the Memorial 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.~none~_blank~blue~05-27-2021 12:40~06-01-2021 06:00||cje8ri2xp9zd~notused~CSSC Operations will be closed Monday, July 5, 2021 in observance of the Independence 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.~~_blank~blue~07-01-2021 06:00~07-06-2021 06:00||cje8ri2xp9dd~notused~CSSC Operations will be closed Monday, September 6, 2021 in observance of the Labor 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.~~_blank~blue~09-03-2021 06:00~09-07-2021 06:00||3samv18vpxkk~notused~CSSC Operations will be closed Thursday, November 25, 2020 and Friday, November 25, 2020 in observance of the Thanksgiving 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.~none~_blank~blue~11-23-2021 07:00~11-28-2021 07:00||p35y937gpjsx~notused~CSSC Operations will be closed Friday, December 23, 2021 and Monday, December 27, 2021 in observance of the Christmas 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~none~_blank~blue~12-22-2021 07:00~12-28-2021 07:00||vpphkwmwueaa~notused~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.~none~_blank~blue~12-28-2021 07:00~01-02-2022 07:00

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.

Encounter and Risk Adjustment Program (Part C) Articles

REVISED: Risk Adjustment for EDS and RAPS User Group - September 28, 2017 REVISED: Risk Adjustment for EDS and RAPS User Group - May 17, 2018 Value Codes Update FTP and Web Server Issues SFTP/TIBCO Report Naming Conventions System Status: March 15th - March 17th Risk Adjustment for EDS and RAPS User Group Q&As - August 25, 2016 MAO-002 Edit 02110 - Beneficiary Member ID Not on File Risk Adjustment for EDS and RAPS User Group - May 18, 2017 Risk Adjustment Processing System Errors Password Changes for Secure File Transfer Protocol (SFTP) Users Only UPDATE: System Status - SFTP Submitters Only Risk Adjustment for EDS and RAPS User Group Q&As - November 17, 2016 Risk Adjustment for EDS and RAPS User Group Q&As - October 26, 2017 Risk Adjustment for EDS and RAPS User Group - May 17, 2018 RAPS Error Code 360 REVISED: Medicare Advantage & Part D Communications Handbook Risk Adjustment for EDS and RAPS User Group - February 16, 2017 Risk Adjustment for EDS and RAPS User Group - November 30, 2017 REVISED: Risk Adjustment for EDS and RAPS User Group - November 1, 2018 RAPS System Status - May 26th thru May 29th Risk Adjustment for EDS and RAPS User Group Q&As - April 27, 2017 SFTP and Website Servers are now available!System Status - October 9, 2019 Risk Adjustment for EDS and RAPS User Group - August 17, 2017 Risk Adjustment for EDS and RAPS User Group - April 19, 2018 Risk Adjustment for EDS and RAPS User Group - November 1, 2018 FTP and Website Servers are now available!REVISED: Risk Adjustment for EDS and RAPS User Group - January 17, 2019 Front-End Systems Password Changes SFTP Users Only: Password Issue Update System Status - October 29, 2017 Redistribution of MAO-001 and MAO-002 Reports - 10/05/2017 Front-End Systems Issues Risk Adjustment for EDS and RAPS User Group Q&As - January 19, 2017 Front-End Systems Status Update Risk Adjustment for EDS and RAPS User Group - July 19, 2018 REVISED: Medicare Advantage & Part D Communications Handbook Submission Deadline Reminder Risk Adjustment for EDS and RAPS User Group - February 21, 2019 CSSC Operations Enhanced Website Coming Soon!Risk Adjustment for EDS and RAPS User Group - June 20, 2019 REVISED: Risk Adjustment for EDS and RAPS User Group - July 19, 2018 CSSC Operations website is unavailable Update: ICN Assignments Enhancement Encounter Data Submission and Processing Guide - Version 2.0 System Status - Upgrade Rescheduled to April 27, 2019 System Upgrade - June 25, 2017 Request for Input – Risk Adjustment Reports – Model Output Report (MOR) and MAO-004 Report Password Changes for Secure File Transfer Protocol-SFTP Users Only REVISED: Medicare Advantage & Part D Communications Handbook SFTP and Website Server Issues TIBCO Update - FTP Users Only Submission Deadline Reminder Risk Adjustment for EDS and RAPS User Group - December 19, 2019 RAPS Submission Cutoff Time Change SFTP Users Only: Password Updates Password Changes for Secure File Transfer Protocol (SFTP) Users Only Combined Common Edit Module (CCEM) Edit DTP=573 Update Password Changes for Secure File Transfer Protocol (SFTP) Users Only RAPS Format Effective 2017 TIBCO Translator Transition Update Password Changes for Secure File Transfer Protocol (SFTP) Users Only Risk Adjustment for EDS and RAPS User Group - October 26, 2017 Password Changes for Secure File Transfer Protocol (SFTP) Users Only Reminder: SFTP Transition and Front-End Website Decommission 8/4/2018 Correction: System Status - March 20, 2019 System Status - March 13, 2019 Risk Adjustment for EDS and RAPS User Group - April 27, 2017 CORRECTION: Password Changes for Secure File Transfer Protocol (SFTP) Users Only Password Changes for Secure File Transfer Protocol (SFTP) Users Only Electronic Data Interchange (EDI) Translator Software Transition Update - Condition Code P1 CSSC Operations Website Reorganization Encounter Data (ED) and RAPS Webinar Topics Index Password Changes for Secure File Transfer Protocol (SFTP) Users Only Updated - Risk Adjustment for EDS and RAPS User Group - March 23, 2017 CSSC Operations website is now available!MAO-001 Reports Correction System Status - SFTP Submitters Only Risk Adjustment for EDS and RAPS User Group - June 15, 2017 Risk Adjustment for EDS and RAPS User Group - August 15, 2019 System Status: August 10th - August 12, 2018 SFTP Report Download Options Risk Adjustment for EDS and RAPS User Group - January 19, 2017 EDPS Edit Codes 02240 and 02110 Risk Adjustment for EDS and RAPS User Group - February 22, 2018 Transition to Secure File Transfer Protocol (SFTP)Risk Adjustment for EDS and RAPS User Group - January 18, 2018 277CA Response Reports Delimiter System Status - Websites and PRS Mailboxes System Status - September 10, 2017 ICN Assignments Enhancement Reminder Risk Adjustment for EDS and RAPS User Group - August 23, 2018 System Status - October 28, 2018 Encounter Data Files - Delimiters File Transfer Protocol (FTP) port 2021 ICN Assignments Enhancement Correction: 999 and 277CA Response Reports Format - SFTP Users Only System Status - August 27, 2017 Submission Deadline Reminder Risk Adjustment for EDS and RAPS User Group - March 23, 2017 Risk Adjustment for EDS and RAPS User Group - April 18, 2019 Update - Type of Bill (TOB) 73X System Status - July 29, 2018 Update: System Status: March 15th - March 17th Risk Adjustment for EDS and RAPS User Group Q&As - February and March 2017 REVISED: Risk Adjustment for EDS and RAPS User Group - November 30, 2017 REVISED: Risk Adjustment for EDS and RAPS User Group - April 19, 2018 TIBCO Transition Dates REVISED: Risk Adjustment for EDS and RAPS User Group - June 20, 2019 REVISED: Risk Adjustment for EDS and RAPS User Group - August 15, 2019 Update - Value Code A2 FTP and Website Server Issues Risk Adjustment for EDS and RAPS User Group - July 20, 2017 System Status - June 30, 2017 SFTP/TIBCO Report Naming Conventions - PDE and RAPS Update to the MAO-001 Report REVISED: Risk Adjustment for EDS and RAPS User Group - December 19, 2019 Password Changes for File Transfer Protocol (FTP) Users Only RAPS and PDE Submitter Login Validation – SFTP Submitters Only Submission Deadline Reminder REVISED: Risk Adjustment for EDS and RAPS User Group - April 18, 2019 Password Changes for File Transfer Protocol (FTP) Command Line Users Only REVISED: Medicare Advantage & Part D Communications Handbook 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