Relevant to: Part D Plan Sponsors
As described in previously published HPMS memoranda, CMS will require all Part D sponsors to re-certify in order to submit Prescription Drug Event (PDE) data beginning January 1, 2025.0 This program-wide recertification is necessary due to upcoming PDE changes, including the PDE File Layout expansion and the introduction of new financial fields on the PDE record in support of the Manufacturer Discount Program (Discount Program).
Further information on the procedure for testing and certification, as well as the test case matrix, can be found at www.csscoperations.com –> Topics –> EDI Onboarding and Connectivity –> Submitter Onboarding Information. Certification testing for non-PACE Part D sponsors begins on July 1, 2024, and must be completed before production PDE files can be submitted in the new format beginning on January 1, 2025.