Automated True Out of Pocket (TrOOP) Balance Transfer (ATBT) Financial Information Reporting (FIR) Update

Relevant to: Medicare-Medicaid Plans (MMPs), PDPs, PACE, 1876, MA

The purpose of this memorandum is to notify all Prescription Drug Plans, Medicare Advantage-Prescription Drug Plans, Section 1876 Cost Plans, Medicare-Medicaid Plans, and PACE Organizations of the enhancements to the Automated TrOOP Balance Transfer (ATBT) Financial Information Reporting (FIR) Transactions process as recommended by the National Council for Prescription Drug Programs (NCPDP). The Centers for Medicare & Medicaid Services (CMS) will work with the Part D Transaction Facilitator to update applicable processes to ensure all FIR transactions are accurately generated.

See the full guidance for more information.