HPMS Updates & CMS Guidance

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Most RecentPart DPACEMMPMAOs1876Section 1833For All StakeholdersPDPs

Promising Practices: Opioid Educational Sessions

February 9, 2024

Relevant to: All Medicare Advantage Organizations (MAOs) and Prescription Drug Plan Sponsors (PDPs)

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Release of 2024 MIPS Payment Adjustment Data File

February 2, 2024

Relevant to: All Medicare Advantage, Cost, PACE Organizations, and Demonstration Organizations Systems Staff

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Contract Year (CY) 2025 Final Part D Bidding Instructions

February 1, 2024

Relevant to: All Prescription Drug Plans, Medicare Advantage-Prescription Drug Plans, Section 1876 Cost Plans, Medicare-Medicaid Plans, and PACE Plans

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Completion of the Reopening of the 2018 Final Part D Payment Reconciliation

January 29, 2024

Relevant to: Part D Plan Sponsors, PACE Organizations

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2024 Medicare Part D Low-Income Subsidy (LIS) Income and Resource Standards

January 29, 2024

Relevant to: All Prescription Drug Plan Sponsors, Medicare Advantage Organizations, Cost Plans, Programs for All-Inclusive Care for the Elderly, and...

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PACE Organization Risk Adjustment Submissions to the Encounter Data System

January 29, 2024

Relevant to: PACE Organizations

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PACE Participation in the Manufacturer Discount Program beginning January 1, 2025

January 26, 2024

Relevant to: PACE Organizations

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Release of the CY 2025 SMAC Submission Instructions and Updates to Medicare Managed Care Manual Chapter 16-B

January 25, 2024

Relevant to: Medicare Advantage Organizations with a Dual Eligible Special Needs Plan

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Registration Open: March 2024 Medicare Part C Fraud, Waste, and Abuse(FWA) Webinar

January 22, 2024

Relevant to: All Medicare Advantage Organization (MAOs) and Medicare Advantage Prescription Drug Plans (MA-PDs)

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Contract Year 2024 Part C and Part D Reporting Requirements and Technical Specifications

January 11, 2024

Relevant to: Part C, Part D

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2024 PACE Application Quarterly and Waiver Request Submission Dates

January 10, 2024

Relevant to: PACE Organizations

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2024 PACE Application Quarterly and Waiver Request Submission Dates

January 8, 2024

Relevant to: PACE Organizations

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Contract Year (CY) 2025 Plan Benefit Package (PBP) Industry Testing

January 5, 2024

Relevant to: Current Prospective Medicare Advantage, Prescription Drug Plan, Section 1876 Cost, PACE, and Demonstration Organizations

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Introduction of Prescription Oral Antivirals for COVID-19 to the CommercialMarket

January 4, 2024

Relevant to: All Prescription Drug Plans, Medicare Advantage-Prescription Drug Plans, Section 1876 Cost Plans, Medicare-Medicaid Plans, and PACE Organizations

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Announcement of Global Reopening of the Part D Payment Reconciliation for Calendar Year 2022

January 2, 2024

Relevant to: All Part D Plans, PACE Organizations

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2024 Health Equity Index Confidential Contract-level Reports

December 20, 2023

Relevant to: MAOs, PDPs, Cost

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CY 2024 Formulary Information

December 20, 2023

Relevant to: PDPs, MA-PDPs, Cost, MMPs, PACE

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Contract Year 2024 Part C and Part D Baseline Out-of-Pocket Cost Models

December 19, 2023

Relevant to: Cost, MAOs, MMPs, PDPs

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Release of Additional Information Regarding Total Pass-Through Amounts Data for Optional Use by Medicare Advantage Organizations

December 19, 2023

Relevant to: MAOs, MPDP

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2024 Program Audit Updates

December 19, 2023

Relevant to: Cost, MMPs, PDPs

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Upcoming National Audit – Analysis of Prescription Drug Event (PDE) Records for Medical Supplies Associated with the Delivery of Insulin for Beneficiaries with No Evidence of Insulin Use in Medicare Parts B, C, or D

December 18, 2023

Relevant to: MA-PD, PDPs

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Submission of 2023 Beneficiary-Level Medication Therapy Management (MTM) Program Data

December 18, 2023

Relevant to: Cost, MMPs, PDPs, MA-PDPs

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Contract Year 2025 Medicare Advantage Applicant Training and Updated Letter of Intent Submission Instructions

December 14, 2023

Relevant to: MAOs

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Encounter Data Software Release Updates: December 2023 Release

December 13, 2023

Relevant to: Cost, PACE, MA

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Requests for Application and Request for Information for the Medicare Advantage Value-Based Insurance Design Model: Innovating to Meet Person-Centered Needs

December 13, 2023

Relevant to: MAOs

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Updated 2024 Medicare Advantage Network Adequacy Criteria and Guidance

December 7, 2023

Relevant to: Cost, MAOs, Network-based Private Fee-For Service Plans, Initial and Service Area Expansion Applicants

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Updates and Timeline for the Contract Year 2025 Plan Benefit Package

December 1, 2023

Relevant to: MA, MMPs, Cost, PACE, PDPs

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2024 Part C and Part D Call Center Monitoring – Timeliness and Accuracy & Accessibility Studies

December 1, 2023

Relevant to: MAOs, PDPs, MMPs

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Retail Pharmacy Network Access and Preferred Cost-Sharing Pharmacy Access Analysis Results for AEP CY 2024

November 30, 2023

Relevant to: PDPs

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Medicare Advantage/Prescription Drug System (MARx) December 2023 Payment – INFORMATION

November 29, 2023

Relevant to: MAOs, PDPs, Cost, PACE

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