Reassessing Payments

Due to changes made to the inputs to the payment calculation process, it will sometimes be necessary to conduct a second, retrospective calculation of the amount to be paid. This is referred to as reassessment.

The purpose of reassessment is to compare the outputs of a retrospective payment calculation with the outputs of the original payment calculation. This comparison detects differences between these outputs, so that the necessary overpayments or liabilities are created, and subsequently processed. A description of reassessment processing is not within the scope of this document, as the reassessment process is handled by the existing functionality within the Cúram Eligibility and Entitlement Engine. However, there are several possible reassessment "triggers" in CPM. These triggers have been described in detail below.