• Only use adjustments to make changes to previously reported data. If you are reporting data for the first time, you need to submit it in a regular monthly report.
• Once you submit a member’s data in a regular monthly report, if you need to submit any subsequent data for that member, submit it as an adjustment.
• Multiple regular reports in a month are acceptable, as long as they report different members.
• If you submit an Adjustment Report form (RS2050), sign the certification section, attach an Adjustment Report Label (RS2050-A) and mail them to the address listed at the top of the Report form.
• An Adjustment Report (RS2050) should only include adjustments for a single employee.

Rev. 2/23