Risk Adjustment Payment Hierarchical Condition Category Enrollee Report

Acronym: RAPHCCER

The RAPHCCER report contains information on total counts in relation to RA Hierarchical Condition Category (HCC) claims and enrollees. The system includes system-generated cross-year enrollment periods, created during the calculations under the state payment transfer formula in order to include qualifying cross-year claims, when calculating the values in this report. Both CMS and the issuer receive this report