CGDP Reconciliation

The CGDP Reconciliation is a set of management reports from the Payment Reconciliation System (PRS). The Centers for Medicare & Medicaid Services (CMS) completes the calculations for the Part D Coverage Gap Discount (CGD) Reconciliation, which are performed in accordance with § 1860D-14A of the Social Security Act and associated regulations and guidance. The PRS reports specify the inputs and results of a specific payment reconciliation.

These reports contain sensitive financial information and provide data on Part D CGDP payment adjustments to remit and recover these calculated CGD reconciliation amounts by CMS for Part D Plan Sponsors.

To request access to the Coverage Gap Discount Reconciliation Reports - Payment Reconciliation System (PRS) select and complete the PRS Form.

To access CGDP Reconciliation reports, select the Coverage Gap Discount Reconciliation Reports - Payment Reconciliation System (PRS) link.