Never miss a memo!
UPDATES – 2024 Medicare Part D Patient Safety Reports
Relevant to: All Prescription Drug Plans, Medicare Advantage-Prescription Drug Plans, Section 1876 Cost Plans, and PACE plans
Read MoreCY 2025 Part D Formulary Submission Information
Relevant to: All Prescription Drug Plans, Medicare Advantage-Prescription Drug Plans, Section 1876 Cost Plans, Medicare-Medicaid Plans, and PACE Organizations
Read MoreRelease of the Non-Renewal/Service Area Reduction Module in the Health Plan Management System
Relevant to: All Current Medicare Advantage Organizations, Prescription Drug Plan Sponsors, Section 1833 and 1876 Cost Plans, PACE and Medicare-Medicaid...
Read MoreRelease of the Contract Year 2025 Service Area Verification Functionality
Relevant to: All Current and Prospective Medicare Advantage, Prescription Drug Plan, Section 1833 and 1876 Cost Plans, PACE, and Medicare-Medicaid...
Read MoreInformation to Review Data Used for Medicare Part C and D Star Ratings and Display Measures
Relevant to: All Medicare Advantage Organizations, Prescription Drug Plans, and Section 1876 Cost Plans
Read MoreRelease of the Contract Year (CY) 2025 Plan Benefit Package and Bid Pricing Tool Software and Related Technical Bidding Guidance for Employer/Union-Only Group Waiver Plans
Relevant to: All Current and Prospective Medicare Advantage (MA), Prescription Drug Plan (PDP), Section 1876 Cost, PACE, and Medicare-Medicaid Plan...
Read MoreMedicare Advantage/Prescription Drug System (MARx) April2024 Payment – INFORMATION
Relevant to: All Medicare Advantage Organizations, Prescription Drug Plans, Cost Plans, PACE Organizations, and Demonstrations
Read MoreEncounter Data Software Release Updates: March 2024 Release
Relevant to: All Medicare Advantage, Cost, PACE, and Demonstration Organizations Systems Staff
Read MoreSupport for Use of Encounter Data in Overpayment Reruns
Relevant to: All Medicare Advantage, Cost, PACE and Demonstration Organization Systems Staff
Read More2025 Prescription Drug Event (PDE) File Layout Updates for all Part D Plan Sponsors, and Additional 2025 Changes to PDE Reporting for PACE Organizations
Relevant to: All Part D Plan Sponsors, including Programs of All-inclusive Care for the Elderly (PACE) Organizations
Read More2024 Risk Score Reruns for Purposes of Payment Recovery
Relevant to: All Medicare Advantage Organizations, PACE Organizations, MedicareMedicaid Plans, Section 1833 Cost Contractors and Section 1876 Cost Contractors, and...
Read MoreMedicare Advantage/Prescription Drug System (MARx) March 2024 Payment – INFORMATION
Relevant to: All Medicare Advantage Organizations, Prescription Drug Plans, Cost Plans, PACE Organizations, and Demonstrations
Read MorePromising Practices: Opioid Educational Sessions
Relevant to: All Medicare Advantage Organizations (MAOs) and Prescription Drug Plan Sponsors (PDPs)
Read MoreRelease of 2024 MIPS Payment Adjustment Data File
Relevant to: All Medicare Advantage, Cost, PACE Organizations, and Demonstration Organizations Systems Staff
Read MoreContract Year (CY) 2025 Final Part D Bidding Instructions
Relevant to: All Prescription Drug Plans, Medicare Advantage-Prescription Drug Plans, Section 1876 Cost Plans, Medicare-Medicaid Plans, and PACE Plans
Read MoreCompletion of the Reopening of the 2018 Final Part D Payment Reconciliation
Relevant to: Part D Plan Sponsors, PACE Organizations
Read More2024 Medicare Part D Low-Income Subsidy (LIS) Income and Resource Standards
Relevant to: All Prescription Drug Plan Sponsors, Medicare Advantage Organizations, Cost Plans, Programs for All-Inclusive Care for the Elderly, and...
Read MorePACE Organization Risk Adjustment Submissions to the Encounter Data System
Relevant to: PACE Organizations
Read MorePACE Participation in the Manufacturer Discount Program beginning January 1, 2025
Relevant to: PACE Organizations
Read MoreRelease of the CY 2025 SMAC Submission Instructions and Updates to Medicare Managed Care Manual Chapter 16-B
Relevant to: Medicare Advantage Organizations with a Dual Eligible Special Needs Plan
Read MoreRegistration Open: March 2024 Medicare Part C Fraud, Waste, and Abuse(FWA) Webinar
Relevant to: All Medicare Advantage Organization (MAOs) and Medicare Advantage Prescription Drug Plans (MA-PDs)
Read MoreContract Year 2024 Part C and Part D Reporting Requirements and Technical Specifications
Relevant to: Part C, Part D
Read More2024 PACE Application Quarterly and Waiver Request Submission Dates
Relevant to: PACE Organizations
Read More2024 PACE Application Quarterly and Waiver Request Submission Dates
Relevant to: PACE Organizations
Read MoreContract Year (CY) 2025 Plan Benefit Package (PBP) Industry Testing
Relevant to: Current Prospective Medicare Advantage, Prescription Drug Plan, Section 1876 Cost, PACE, and Demonstration Organizations
Read MoreIntroduction of Prescription Oral Antivirals for COVID-19 to the CommercialMarket
Relevant to: All Prescription Drug Plans, Medicare Advantage-Prescription Drug Plans, Section 1876 Cost Plans, Medicare-Medicaid Plans, and PACE Organizations
Read MoreAnnouncement of Global Reopening of the Part D Payment Reconciliation for Calendar Year 2022
Relevant to: All Part D Plans, PACE Organizations
Read MoreContract Year 2024 Part C and Part D Baseline Out-of-Pocket Cost Models
Relevant to: Cost, MAOs, MMPs, PDPs
Read More