CMS Pub. 100-22, ch. 3, § 30.2

Contractors shall verify that the eRx Incentive payments have made it through every aspect of processing to

payment, including documented confirmation that all payments have been made. Contractors shall receive

Excel spreadsheets for each reporting period from CMS via an e-mail notification that lists the grand total of

each contractor’s incentive payments and the total number of checks each contractor shall issue. Prior to

issuing the incentive payments, each contractor shall confirm that the grand total incentive payment

amount and the total number of checks to be paid from their FINAL file for the incentive payment reporting

period match the totals from the Excel spreadsheet. Prior to issuing the incentive payments, contractors

shall send their findings from comparing the payment files for the reporting period to the Excel spreadsheet

via email to their Contractor Manager or Project Officer as appropriate, with an informational copy to

PQRS_eRx_Payment_Issues@cms.hhs.gov. Contractors shall notify CMS via email of the date when all of

the payments have been completed for the reporting period to their Contractor Manager or Project Officer

as appropriate, with a copy to PQRS_eRx_Payment_Issues@cms.hhs.gov.

Each contractor will report separate results of the incentive payments to CMS as soon as possible but no

later than 30 calendar days after payments have been completed using the Incentive Payment Results Report

form displayed in Exhibit 1. NOTE: The Incentive Payment Results Report displayed in Exhibit 1 is the

only acceptable format for capturing this information. CMS will not accept any other formats. Also,

contractors are to insert the change request (CR) number for the recurring update notification associated

with the payment in the title of the Incentive Payment Results Report.

Once issues are identified that have prevented payment of the eRx incentive, where possible contractors

shall notify any impacted providers of the issue and the expected resolution date.

The Medicare contractors send their findings for the Incentive Payment Results Report via e-mail to their

Contract Manager or Project Officer as appropriate, with an informational copy to

PQRS_eRx_Payment_Issues@cms.hhs.gov. If payment issues are reported in the Incentive Payment

Results Report, the Medicare contractor is required to provide updates to CMS once each week until the

payment issues have been resolved.