HPMS Updates & CMS Guidance
Release Date for Important Contract Year 2025 Information
Relevant to: PDPS, MAO
Update to Drug Data Processing System (DDPS) Edits 787 and 870
Relevant to: Part D Plan Sponsors
Release of Additional Information Regarding Total Pass-Through Amounts Data for Optional Use by Medicare Advantage Organizations (Update)
Relevant to: PDPS, MAO
Medicare Advantage/Prescription Drug System (MARx) July 2024 Payment – INFORMATION
Relevant to: MAOs, PDPs, Cost Plans, PACE Organizations, Demonstrations
Additional Information Regarding Prescription Drug Event Submission Certification for 2025
Relevant to: Part D Plan Sponsors
Contract Year 2025 Agent and Broker Compensation Rates, Referral/Finder’s Fees, and Training and Testing Requirements
Relevant to: MAOs, PDP Sponsors, Section 1876 Cost Plans, MMPs
Redetermination of Part D Low-Income Subsidy Eligibility for 2025
Relevant to: Part D Sponsors
Rerun of Payment Year (PY) 2017
Relevant to: MAOs, PACE Organizations, MMPs, Cost Contractors, Demonstrations
Request for Review – Draft Medicare Advantage and Part D Enrollment and Disenrollment Guidance
Relevant to: MAOs, PDPs, Cost Plans, MMPs, PACE Organizations
Contract Year (CY) 2024 Monitoring Parts C & D Reporting Web Portal Access
Relevant to: MAOs, PDPs, MMPs
Lessons Learned from Dual Eligible Special Needs Plans Enrollee Advisory Committee Strategic Conversation
Relevant to: D-SNP
Clarification of True Out-of-Pocket Costs for Calendar Year 2025
Relevant to: Part D Plan Sponsors
CY 2025 Plan Connectivity Data Submission and Verification
Relevant to: All Current and Prospective Medicare Advantage (MA), Prescription Drug Plan (PDP), Cost, Programs for All-Inclusive Care for the Elderly (PACE), and Medicare/Medicaid Plan (MMP) Organizations
Contract Year (CY) 2025 Part D Pricing Data Submission Guidance
Relevant to: All Part D Plans
State Medicaid Agency Contracts Submission Requirements for Contract Year 2025
Relevant to: Medicare Advantage Organizations Offering or Seeking to Offer Dual Eligible Special Needs Plans in Contract Year 2025
Public Posting of Medicare Part D Retail Pharmacy Network Access Results Q2 2024
Relevant to: Medicare Part D Plan Sponsors, Excluding PACE and Employer-Only Plans
Medicare Part C and Part D Past Performance Results for Lookback Period March 1, 2023 through February 29, 2024
Relevant to: All Medicare Advantage Organizations, Prescription Drug Plan Sponsors, Cost Plans, Employer-Direct and Employer-Only Contracts, and Medicare-Medicaid Plans
Prescription Drug Event Submission Certification Requirements for 2025
Relevant to: All Part D Sponsors
May 2024 Updates to the Drug Data Processing System (DDPS)
Relevant to: All Part D Sponsors
Guidance for the Part D Payment Reconciliation Reopening for Calendar Year 2019 and Future Years
Relevant to: All Part D Sponsors
Contract Year 2022 Cost Sharing Administration Analysis (CSAA) – Results and Lessons Learned
Relevant to: All Part D Sponsors
Alert: Dr. Hajjar, Sovereign Medical Group, & Sovereign Laboratory Services
Relevant to: All Medicare Advantage Organizations (MAOs) and Prescription Drug Plan
Sponsors (PDPs)
Release of the Contract Year (CY) 2025 Bid Submission Functionality in HPMS
Relevant to: All Current and Prospective Medicare Advantage, Prescription Drug Plan, Section
1876 Cost, PACE, and Medicare-Medicaid Plan Organizations, Bid Consultants,
and Actuarial Certification Consultants
Announcement of Deadlines for Medical Loss Ratio Data Forms and Attestations for Contract Year 2022
Relevant to: Medicare Advantage Organizations, Cost Plans, and Prescription Drug Plan Sponsors
2025 Prescription Drug Event (PDE) Record Reporting Instructions for PACE Organizations
Relevant to: 2025 Prescription Drug Event (PDE) Record Reporting Instructions for PACE Organizations
Completion of the Reopening of the 2022 Final Part D Payment Reconciliation
Relevant to: All Part D Plan Sponsors, including PACE Organizations
Deadline for Submitting Risk Adjustment Data for Use in Risk Score Calculation Runs for Payment Years 2024, 2025, and 2026
Relevant to: All Medicare Advantage Organizations, PACE Organizations, Medicare-Medicaid
Plans, Cost Contractors, and Demonstrations
2024 Call Center Monitoring Performance Metrics for Timeliness Study, Quarter 1
Relevant to: All Medicare Advantage, Prescription Drug Plan, and Demonstration Organizations
Extension of the HEDIS Data Submission Deadline
Relevant to: Medicare Advantage Organizations, Cost Plans, and Demonstrations