Medicare MTF DM Technical and Systems Call for Drug Manufacturers: April 2025

Relevant to: Drug Manufacturer Module Enhancements, Enrollment and Payment Systems, Drug Pricing, Part D

Each week, we scan the latest CMS memos to find the most important ones that apply for PACE programs. Below is a summary of what you need to know.

Disclaimer: The content provided on this site is a summary for informational purposes only, and Grane PBM, Inc. assumes no liability for any errors or omissions in the site’s content. The information does not constitute legal or regulatory advice or replace the original CMS memo. Readers are advised to consult the CMS memo in its entirety and to verify information independently before making any decisions based on this information.

Click here to read the full memo from CMS.

Introduction

The Centers for Medicare & Medicaid Services (CMS) is engaging drug manufacturers with a call on the Medicare Transaction Facilitator Data Module (MTF DM) on April 23, 2025. This module will support the data exchange for drugs under the Inflation Reduction Act’s price negotiation provisions. Participants can submit questions in advance and register for this important discussion aimed at enhancing system integration and user experience.

Key Dates and Deadlines

  • Date of memo: April 2, 2025
  • Systems call date: Wednesday, April 23, 2025, from 1 PM to 2:30 PM ET
  • Registration closing date: 5:00 pm ET on Monday, April 21, 2025

PACE Compliance

This memo is relevant to PACE programs because of its implications on the exchange of claim-level and payment data elements. The introduction of the Medicare Transaction Facilitator Data Module (MTF DM) impacts compliance and reporting measures necessary within the PACE framework.

Plans involved with PACE must ensure that they are integrated with the secure data exchange protocols discussed in the memorandum to remain compliant. It is essential for PACE organizations to attend the scheduled systems call or review the details shared in these discussions, as it will directly affect the technical execution and data management processes required by Medicare.

PACE plans should also ensure that their technical teams are familiar with the system integration and secure data exchange requirements to streamline the communication of claim-level data. Participation in the call will help in addressing any technical concerns and aligning with the data management practices required under the Inflation Reduction Act of 2022.

Required Actions

1. Review the details of the scheduled call on April 23, 2025, regarding the Medicare Transaction Facilitator Data Module (MTF DM).

2. Submit any questions for discussion prior to the call by emailing them to MFPMedicareTransactionFacilitator@cms.hhs.gov with “Discussion Question – MTF April Call” in the subject line.

3. Register for the call by April 21, 2025, ensuring you use your P# for registration, if applicable. Contact the HPMS Access Help Desk at hpms_access@cms.hhs.gov if you need assistance with this process.

FAQs

  • “What is the purpose of the Medicare Transaction Facilitator Data Module (MTF DM)?”
  • “How does the Inflation Reduction Act of 2022 impact Medicare drug price negotiations?”
  • “What topics will be discussed during the systems call on April 23, 2025?”
  • “How can drug manufacturers submit questions for the CMS call?”
  • “Who should drug manufacturers contact for HPMS Access assistance?”

Click here to read the full memo from CMS.

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