New OCS Directive: Health Plans Must Report ER Visits, Hospitalizations, and Costs for Asthma Care

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PR| Circular Letter CC-2026-2062-AF (Spanish only) requires all health service organizations and insurers authorized to write medical plans in Puerto Rico to annually submit detailed Excel-based reports on asthma-related health service utilization, aligned with the CDC’s “Advancing Health Equity in Asthma Control through EXHALE Strategies” initiative, with specific reporting deadlines starting April 17, 2026, and March 31 in subsequent years, and mandates strict adherence to format, content, and submission instructions.

Highlights

  • Submit the completed Excel forms by the specified annual deadlines via the designated email addresses, with questions directed to the named epidemiologist contact at the Department of Health.
  • Report emergency room visits, hospitalizations, associated costs (services and controller/reliever medications), and insured population for asthma as primary diagnosis, broken down by municipality of service and residence.
  • Complete separate spreadsheets for public and private components where applicable, follow all formatting rules (including using zero where no data exists), and use the comments section to explain anomalies or special situations.

Link to Form: Compilation of Statistical Data on Healthcare Service Utilization by Asthma Condition

See Original with English Translation Below:

  • Bulletin
  • Puerto Rico
  • Department of Insurance

Other information from Puerto Rico: