Annual Part D Payment Reconciliation Contact Information Request 2025

Relevant to: Part D

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Click here to read the complete memo from CMS.

Introduction

The Department of Health & Human Services’ Centers for Medicare & Medicaid Services has issued a memorandum regarding the annual request for Part D Payment Reconciliation contact information. This essential process involves identifying contact persons responsible for Part D payment reconciliation and Direct and Indirect Remuneration (DIR) reports. Sponsors with active contracts in 2024, including those only active for part of the year, must verify and update contact information in the Health Plan Management System (HPMS) by March 7, 2025. Terminated contracts need to submit the information via email using the provided form.

Key Dates and Deadlines

The following is a list of important deadlines and dates related to the Part D Payment Reconciliation process for 2024:

  • Deadline for updating contact information in HPMS: March 7, 2025
  • Deadline for submitting contact information for terminated contracts via email: March 7, 2025

PACE Compliance

This memo does not specifically address PACE (Program of All-Inclusive Care for the Elderly) compliance requirements directly, as it pertains to Part D Plan Sponsors’ payment reconciliation and Direct and Indirect Remuneration (DIR) reports. However, organizations operating within the PACE framework and participating in Part D may need to consider the following:

– Ensure contact information for individuals authorized to discuss reconciliation issues and DIR is accurately reported within the Health Plan Management System (HPMS) for Part D contracts, if applicable to their operation.

– Update or verify the relevant contact information by the specified deadline, which is March 7, 2025, to avoid any inconsistencies in communication during the reconciliation process.

– Although specific steps outlined are for Part D Plan Sponsors, it’s crucial for PACE plans managing Part D aspects to be aware of these requirements to maintain seamless operations and compliance with any Medicare-related communications and processes.

– PACE organizations may not directly handle these particular procedures unless they sponsor a Part D drug plan, in which case, they need to adhere closely to the guidelines provided in the memo to prevent any misunderstanding or oversight in the reconciliation and reporting processes.

Required Actions

1. Verify and update contact information in the HPMS Contract Management module for each active Part D contract number by March 7, 2025, using the following path: HPMS Homepage > Contract Management > Basic Contract Management > Select Contract Number > Contact Data.

2. If your contract number was active in 2024 but is no longer active in 2025, complete the attached form and submit it via email to PartDPaymentSupport@acumenllc.com by March 7, 2025, with the subject line “Payment Reconciliation Contact Information for Terminated Contracts.”

3. Limit the number of contacts for Part D payment reconciliation and DIR reports to no more than two persons per parent organization and ensure that the contact information includes first name, last name, mailing address, phone number, and e-mail address.

FAQs

  • “What is the purpose of the Part D Payment Reconciliation process?”
  • “Who should be identified as contact persons for the Part D payment reconciliation?”
  • “How can sponsors update their contact information in the HPMS?”
  • “What should sponsors do if their contract was active in 2024 but not in 2025?”
  • “What is the deadline for submitting contact information updates to CMS?”

Click here to read the complete memo from CMS.

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