January 2023 Memos

Draft Contract Year (CY) 2024 Part D Bidding Instructions

January 2023 Memos / By

Relevant to: All Prescription Drug Plans, Medicare Advantage-Prescription Drug Plans, Section 1876 Cost Plans, Medicare-Medicaid Plans, and PACE plans The purpose of this memorandum is to provide Part D sponsors with guidance as they prepare to submit bids for CY 2024. This memorandum includes both annual programmatic updates and program instruction for the implementation of …

Draft Contract Year (CY) 2024 Part D Bidding Instructions Read More »

Medical Loss Ratio Data Form and Attestation Submission Reminder for Contract Year 2021

January 2023 Memos / By

Relevant to: Medicare Advantage Organizations, Cost Plans, and Prescription Drug Plan Sponsors Each Medicare Advantage (MA) Organization, Cost Plan, and Part D Plan Sponsor is required to submit medical loss ratio (MLR) information to CMS for each contract year pursuant to the regulations at 42 CFR §§ 422.2460 and 423.2460. On May 31, 2022, CMS released …

Medical Loss Ratio Data Form and Attestation Submission Reminder for Contract Year 2021 Read More »

Contract Year 2023 Part C and Part D Baseline Out-of-Pocket Cost Models

January 2023 Memos / By

Relevant to: All Medicare Advantage Organizations, Prescription Drug Plan Sponsors, Medicare-Medicaid Plans, and 1876 Cost Plans The purpose of this memorandum is to announce that the contract year (CY) 2023 Part C and Part D Baseline Out-of-Pocket Cost (OOPC) Models are available for Medicare Advantage Organizations (MAOs), Prescription Drug Plans (PDPs), Medicare-Medicaid Plans, and Section 1876 …

Contract Year 2023 Part C and Part D Baseline Out-of-Pocket Cost Models Read More »

Release of Contract Year (CY) 2024 Medicare Advantage (MA), MedicareMedicaid Plan (MMP), and Prescription Drug Benefit (Part D) and Related CY 2024 Applications & Deadlines  

January 2023 Memos / By

Relevant to:  Current and Future Medicare Advantage Organizations, Medicare-Medicaid Plan Sponsors, and Prescription Drug Plan Sponsors CMS announces the release of materials for the CY 2024 Medicare Advantage (MA), Prescription Drug Plan (PDP), Employer/Union-Only Group Waiver Plan (EGWP), Special Needs Plan (SNP), and Medicare-Medicaid Plan (MMP) applications. Applications are now posted on the CMS websites …

Release of Contract Year (CY) 2024 Medicare Advantage (MA), MedicareMedicaid Plan (MMP), and Prescription Drug Benefit (Part D) and Related CY 2024 Applications & Deadlines   Read More »

Our Services
Join Our Mailing List

Copyright © 2023 Grane PBM

Powered by Grane PBM