HPMS Updates & CMS Guidance
Encounter Data Software Release Updates: November 2023 Release
November 7, 2023
No Comments
Relevant to: MA, PACE, Cost
Application of Pharmacy Price Concessions to the Negotiated Price at the Point of Sale Beginning January 1, 2024
November 6, 2023
No Comments
Relevant to: All Part D Sponsors
Health Plan Management System (HPMS) Program Integrity (PI) Portal for Fraud, Waste, and Abuse (FWA) Reporting Module Enhancements
November 3, 2023
No Comments
Relevant to: MA, PDPs, PACE
Contract Year 2024 Monitoring of Posted Comprehensive Formularies
November 3, 2023
No Comments
Relevant to: MAOs, PDPs, Cost
Attestation of Prescription Drug Event (PDE) Data and Direct and Indirect Remuneration (DIR) Data related to the 2018 Reopening
November 3, 2023
No Comments
Relevant to: All Part D Plan Sponsors, PACE
Contract Year (CY) 2024 Online Enrollment Center (OEC) Special Enrollment Period (SEP) Code Updates
November 2, 2023
No Comments
Relevant to: Cost, MA, PDPs, RFB, SNP
New 2025 Prescription Drug Event (PDE) FINAL File Layouts – FIELD UPDATES
October 31, 2023
No Comments
Relevant to: All Part D Plan Sponsors
New 2025 Prescription Drug Event (PDE) FINAL File Layouts – FIELD UPDATES
October 31, 2023
No Comments
Relevant to: All Part D Plan Sponsors
Calendar Year (CY) 2024 Resource and Cost-Sharing Limits for Low-Income Subsidy (LIS)
October 27, 2023
No Comments
Relevant to: All Part D Plan Sponsors
2024 Medicare CAHPS® Survey
October 26, 2023
No Comments
Relevant to: MA, Cost, PDPs, MMPs
Updated Medicare-Medicaid Capitated Financial Alignment Model Core Quality Withhold Technical Notes for Demonstration Years 2 through 12
October 19, 2023
No Comments
Relevant to: MMP
Release of Notice of Intent to Apply for Contract Year 2025 Medicare Advantage (MA), Prescription Drug Benefit (Part D) and Related CY 2025 Application Deadlines
October 16, 2023
No Comments
Relevant to: PDPs, MAOs
Contract Year (CY) 2024 Readiness Checklist for Medicare Advantage Organizations, Prescription Drug Plan Sponsors, 1876 Cost Plans, and Medicare-Medicaid Plans
October 13, 2023
No Comments
Relevant to: MMP
2024 Reassignment of Low-Income Subsidy Beneficiaries in Prescription Drug Plans
September 29, 2023
No Comments
Relevant to: PDPs
2024 Reassignment of Low-Income Subsidy Beneficiaries in Non-Renewing Medicare Advantage Plans and Medicare Advantage Plans Reducing their Service Areas
September 29, 2023
No Comments
Relevant to: MAOs
2023 Medicare Advantage Organization and Prescription Drug Plan Fraud, Waste, and Abuse Training Postponed Until 2024
September 29, 2023
No Comments
Relevant to: MAOs, PDPs
Corrections to the Year of Service (YOS) 2021 Polypharmacy: Use of Multiple Central-Nervous System – Active Medications in Older
September 28, 2023
No Comments
Relevant to: PDPs, PACE, Cost, MA-PD
Medicare Advantage/Prescription Drug System (MARx) October 2023 Payment – INFORMATION
September 28, 2023
No Comments
Relevant to: PDPs, MAOs, PACE, Cost
Non-Renewal and Service Area Reduction Guidance and EnrolleeNotification Models
September 26, 2023
No Comments
Relevant to: MAOs, PDPs, Cost, MMPs
Corrected Contract Year 2024 Translated Model Materials Requirements and Language Data Analysis
September 25, 2023
No Comments
Relevant to: MA, PDPs
Results of the 2023 Part C and D Reporting Requirements Data Validation
September 23, 2023
No Comments
Relevant to: MMPs, PDPs, MAOs
Retail Pharmacy Network Access and Preferred Cost-Sharing Pharmacy Access Analysis Results for Q3 CY 2023
September 22, 2023
No Comments
Relevant to: MPDP
Contract Year 2024 Annual Notice of Change and Evidence of Coverage Submission Requirements and Yearly Assessment
September 22, 2023
No Comments
Relevant to: MAOs, MMPs, PDPs, MA-PDOs, Cost
September 2023 Updates to the Drug Data Processing System (DDPS)
September 15, 2023
No Comments
Relevant to: All Part D Plan Sponsors
Long-Term Institutionalized Resident Report
September 13, 2023
No Comments
Relevant to: PDPs, MA-PDPs, Cost, MMPs, PACE
Medicare-Medicaid Plan Past Performance Reviews
September 7, 2023
No Comments
Relevant to: MMPs
Alert: MedCare Clinic & Pharmacy, LLC
September 7, 2023
No Comments
Relevant to: MAOs, PDPs
Second Plan Preview of 2024 Part C and D Star Ratings Data
September 7, 2023
No Comments
Relevant to: Cost, MAOs, PDPs