title: 2013 Medicare CAHPS® Survey

title: 2014 Application Cycle Past Performance Review Methodology Update – REQUEST FOR COMMENTS

title: Reporting of Emergency Part C and D Issues for January 1st and January 2nd, 2013

title: Contract Year 2013 Part D Transition Monitoring Program Analysis

title: 2013 Part C and Part D Call Center Monitoring and Guidance for Providing Services to Limited English Proficient Beneficiaries

title: CY 2014 Formulary Submission Deadline

title: Release of Contract Year (CY) 2013 Bid Upload Functionality in HPMS

title: CY 2013 Medicare Advantage and Prescription Drug Plan Readiness Assessment Request

title: Reminder of Prescription Transfer Requirements

title: Plan Preview of Display Measures on HPMS

title: Announcement of Prescriber NPI Project and Website Release

title: CY 2013 Part D Supplemental Formulary File and Additional Demonstration Drug File Submission Requirements for Financial Alignment Demonstration Plan Applicants

title: Continuation of the Low Income Subsidy (LIS) Match Rate and Best Available Evidence (BAE) Monitoring Projects

title: Request for Comments on Part D Benefit Administration and Prescription Drug Event (PDE) Reporting

title: Request for Comments regarding enhancements to the Part C and Part D Star Ratings

title: Part D Drug Shortages

title: Contract Year 2013 Monitoring of Marketed Comprehensive Formularies

title: Long-Term Institutionalized Resident Report

title: Release of the 2013 Service Area Verification Functionality

title: Long-Term Institutionalized Resident Report

title: 2014 Quality Bonus Payment Determinations and Administrative Review Process for Quality Bonus Payments and Rebate Retention Allowances

title: Availability of Medicare Health Outcomes Survey (HOS) 2009-2011 Cohort 12 Performance Measurement Electronic Data

title: Verification of Parent Organization Legal Entity Name

title: Transition to Part D Coverage of Benzodiazepines and Barbiturates Beginning in 2013

title: IDPN/IPN Coverage under Medicare Part D

title: Reminder of Pharmacy and Provider Access during a Federal Disaster or Other Public Health Emergency Declaration

title: Contract Year (CY)2013 Plan Benefit Package Software Patch

title: Enrollment Opportunities for Individuls Affected by Hurricane Sandy Following the Annual Enrollment Period

title: Invitation to Provide Feedback on the Contract Year 2013 Bid Submission

title: Issuance of the Final 2013 Medicare Marketing Guidelines

title: Data Validation Training for Contractors

title: Instructions for Requesting Actuarial Certification Consultant Access to the Health Plan Management System (HPMS)

title: Change to Compliance Timeframe for Automated Troop Balance Transfer

title: Out-of-Pocket Cost (OOPC) Model for CY 2013 Bid Submissions

title: Updated Guidance on Standard Operating Procedures (SOP) for the Complaints Tracking Module

title: CY 2013 Medication Therapy Management Program Guidance and Submission Instructions

title: Comments Regarding Enhancements to Patient Safety

title: Release of the 2013 Plan Benefit Package and Bid Pricing Tool Software and Related Technical Bidding Guidance for Part D Employer/Union-Only Group Waiver Plans

title: Revised Coverage Gap Discount Program Agreement for 2014

title: Release of the 2013 Plan Benefit Package (PBP) Training

title: Reminder of Medicare Marketing Guidelines related to 2013 Plan Ratings

title: Meningitis Outbreak

title: DRAFT Additional Guidance Related to Improving Drug Utilization Review Controls in Part D—Request for Comments

title: Impact of the CMS Announced Delay in Enforcement of Telecommunication Standard Version D.0 on Part D Sponsors

title: Quality Assurance Checks for 2013 Data Submitted for Posting on the Medicare Plan Finder Tool

title: CY2013 Pricing Data Requirements ? Request for Comments

title: Process for Requesting an HPMS Crosswalk Exception for Contract Year (CY) 2013

title: Upcoming Complaints Tracking Module (CTM) Enhancements

title: Sponsors? Access to the Medicare Plan Finder (MPF) Communications Website

title: Instructions for Requesting Plan Data Validation Consultant Access to the Health Plan Management System (HPMS)

title: Best Practices for Data Validation Reviewers

title: Review of Part D Sponsors? Transition Policies

title: CY 2013 Formulary Submission Information (v03.09.12)

title: State Access to Financial Alignment Demonstration Data (v03.09.12)

title: Instructions for Requesting Bid Consultant Access to the Health Plan Management System (HPMS)v03.09.12

title: Part D Transaction Facilitator Updates

title: Instructions for Requesting Formulary Consultant Access to HPMS

title: FINAL EOB

title: 2012 Full Replacement Coordination of Benefits Files and Enhancements to the Electronic Correspondence Referral System

title: Verification of Parent Organization and Legal Entity Name for 2013

title: Process to Request Changes to a Medication Therapy Management Program

title: Clarification of Policy Regarding Independence of Data Validation Contractors

title: Submission of 2011 Beneficiary Level Medication Therapy Management Program Data

title: Revisions to 2012 Plan Ratings: Measure D15-Part D Medication Adherence for Oral Diabetes

title: ACTION - Health Plan Management System (HPMS) Access

title: Prescription Drug Event (PDE) Record Changes required to Close the Coverage

title: Updated Complaints Tracking System Guidance on Standard Operating Procedures

title: Verification of Pharmacy Support Call Center Phone Numbers in HPMS

title: Final Medicare Part D HPMS Reporting Requirements for Contract Year (CY) 2007

title: New Medicare Part D Patient Safety Report - Antiretroviral Adherence

title: First Plan Preview of 2012 Part C and Part D Plan Ratings Data

title: Long-Term Institutionalized Resident Report

title: Effective Date of Final Medicare Part C and D Technical Changes Regulation

title: Collection Requirements for Medicare Part C and Part D Reporting Requirements Data Validations

title: Release of the 2011 Service Area Verification Functionality

title: Contract Year 2013 Plan Benefit Package/Summary of Benefits Beta

title: Impact of the Verizon Cut-Over on the Health Plan Management System

title: Update on the 2008 Model Explanation of Benefits

title: Monitoring Best Available Evidence (BAE) Policy

title: Business Associate Agreement

title: Long-Term Institutionalized Resident Report

title: July Limited Update Window for CY 2012 Formulary Submission

title: Sponsors Access to the Medicare Plan Finder Communications Website

title: HEDIS 2011 Patient-level Data Submission

title: Redetermination of Low-Income Subsidy Eligibility for 2008 -CORRECTION

title: Plan Preview of Display Measures for http://www.cms.hhs.gov/

title: Guidance of What Constitutes Reasonable Efforts to Notify Prescribers of Transition Fills

title: 2012 Medicare CAHPS Survey Vendors

title: Medicare Prescription Drug Benefit Manual - Chapters 6 & 7

title: Medicare Coverage Gap Discount Program Updated Guidance

title: CY 2012 Medicare Advantage and Prescription Drug Plan Resources Assessment Request

title: Use of Invalid Prescriber Identifiers on Medicare Part D Drug Claims

title: Release of the 2010 Plan Benefit Package and Bid Pricing Tool Software

title: PDP Contracts that are Non-Renewing or Undergoing a Service Area Reduction (SAR) for 2009

title: Updated Complaint Tracking Module Guidance on Standard Operating Procedures

title: Data Validation Instructions for Viewing CY2010 MTMP Beneficiary-Level Data

title: Update on the Medicare CAHPS Survey Administration for 2011

title: 2010 ANOC/EOC Timeliness and Accuracy Assessment

title: Industry Update Regarding the Medicare Part C and Part D Data Validation

title: Release of Contract Year 2012 Bid Upload Functionality in HPMS

title: Invitation to Provide Feedback on the Contract Yeat 2011 Bid Submission

title: 2009 Medicare CAHPS Survey

title: Recoupment of Louisiana Sales Tax Paid on Part D Claims in 2010

title: Part D Vaccines

title: Meeting 2007 Evidence of Coverage (EOC) Mailing Deadline

title: CMS/FDA CY 2011 Non-Matched NDC List

title: Preventing Part D Payment for Hospice Drugs

title: Part D Access for Medicare Eligible Children

title: HPMS Q&A - Clarification Regarding Part D Vaccine Administration Costs

title: Part D Sponsors Call Center Surveillance

title: Medication Therapy Management (MTM) Reporting Requirements

title: Partner Tip Sheet: Part D Complaints

title: Single State Licensure Waivers for 2008 - Submission of State Application

title: Synchronization of Beneficiary Premium Withhold and Direct Bill Status

title: Q & A - Claims for MTMP Services

title: Reminder of Part D Transition Policy and Expectations for the Upcoming Contract Year

title: 2007 Readiness Checklist Monitoring Tool

title: State to Plan Reconciliation Project

title: Corrections to the Annual Notice of Change and Evidence of Coverage

title: Issuance for Public Comment of Draft Chapter 9 and Chapter 21

title: Reposting of Model Explanation of Benefits

title: Special Process for 2010 End-of-Year Non-Enrollment-Related 4Rx Changes

title: Medicare Part D HMPS Reporting Requirements Frequently Ask Questions - CY 2007

title: CMS 2007 Low Income Subsidy (LIS) Information and Reconciling LIS Status

title: 2012 Combined Call Letter

title: Early Refill Edits on Topical Ophthalmic Products

title: Medicare Coverage Gap Discount Program - Prospective Beneficiary Notice of Formulary Changes

title: Process for Part D Sponsors to Request Changes to a Medication Therapy Management Program (MTMP)

title: CORRECTED February Update of the Formulary Reference NDC File for CY 2007 Formulary Submissions

title: January Update of the Formulary Reference NDC File for CY 2007 Formulary Submission

title: Final 2008 Part D and Employer Group Waiver Plan Applications

title: Medicare Coverage Gap Discount Program Appeals Guidance - Request for Comments

title: Second Plan Preview of 2012 Part C and D Plan Ratings Data

title: August Limited Update Window for Calendar Year (CY) 2010 Formulary Submissions

title: Update to the Technical Specifications for Part C Medicare Advantage and 1876 Cost Plan Reporting

title: 2011 Contracting and Attestation Process - HPMS Access for Officials for Contracting

title: State-to-Plan Reconciliation: Testing Update and Revised Timeline

title: CMS Offices Closed on January 1, 2010 and Reporting of Emergency/Non-Technical Part C&D Issues

title: Parts C and D Plan Preview of CY2011 Plan Ratings Data

title: Medicare Coverage Gap Discount Program -- Update on Low-Volume Claims

title: Non-Renewal Readiness Assessment for Medicare Advantage and Prescription Drug Plan Sponsors

title: Enhancement to Medicare Part D Patient Safety Reports and Website

title: 2008 Part D Application - Attestation Suppression

title: Required Updates to HPMS Contract Management: P&T Committee Membership and Part D Functions

title: 2012 Medication Therapy Management program eligibility information via Medicare Plan Finder

title: Final Standard Business Associate Agreement with the TrOOP Facilitator

title: 2010 HEDIS, HOS and CAHPS Measures for Reporting by Medicare Advantage Organizations

title: Medicare Coverage Gap Discount Program - Manufacturer Labeler Codes on Part D Manufacturer Webpage

title: Approval of 2011 Medicare CAHPS Survey Vendors

title: Additional Guidance Concerning Part D Supplemental Benefits, EGW, Platino & Subrogation Claims Plans

title: Medicare Coverage Gap Discount Program -- Maximum Applicable Discounts

title: 2010 Update for Marketing Material Language Lookup & Translated Materials Monitoring

title: Quality Assurance Checks for Data Posting on the Medicare Prescription Drug Plan Finder Tool

title: New Reports Available on Patient Safety Analysis Website

title: Additional Guidance concerning Closing the Coverage Gap in 2011

title: UPDATED Patient-Level HEDIS Information Available

title: Out-of-Pocket Cost (OOPC) Model for CY 2012 Bid Submissions

title: 2012 Contracting Documents

title: Model Transition Letter

title: Medicare Coverage Gap Discount Program Beginning in 2011 Revised

title: Medicare Part C and Part D Reporting Requirements and Data Validation

title: CY 2010 Medicare Advantage and Prescription Drug Readiness Assessment Request

title: Updates to the Medicare Plan Finder Tool for Floor Pricing and the CY 2012 Pricing Data Requirements

title: Shortages of Formulary Drug Products During a Plan Year

title: CY 2012 Formulary Information

title: Automated Transfer Process for Material Changes in 2009 TrOOP Balances

title: Annual Request for Verification of Parent Organization

title: Updated Information re: Medicare Plan Finder (MPF) Submissions by Financial Alignment Demonstration Contracts

title: CY 2011 Medicare Advantage and Prescription Drug Plan Readiness Checklist

title: Submission of End-of-Year 4Rx Changes

title: Verification of Parent Organization for 2010

title: Coordination of Benefits (COB) Notification Process

title: Implementation Changes in the Medicare Part C and Part D Reporting Requirements and Data Validation

title: Complaint Tracking Module (CTM) and Casework Reminders

title: 2011 Full Replacement Coordination of Benefits Files

title: CY 2013 Part D Reporting Requirements - Request for Comments

title: Health Plan Management System Customer Satisfaction Survey

title: Additional Guidance on 2011 Coverage for Generic Drugs in the Coverage Gap

title: Standardized Format for the Comprehensive Medication Review Action Plan and Summary Request for Co

title: Invitation to Provide Feedback on the Contract Year 2010 Bid Submission

title: 2011 Part D Plan Benefit Package (PBP) Submission and Review Instructions

title: 2011 Notice of Intent to Apply Annoucement

title: Complaint Tracking Module (CTM) Casework Reminders and Updates to CTM Exclusion Criteria

title: Clarification of Medicare Advantage and Prescription Drug Plan Enrollment Guidance

title: Instructions for Requesting Formulary Consultant Access to the Health Plan Management System (HPMS)

title: Verification of Parent Organization

title: Final 2010 Model Explanation of Benefits (EOB)

title: CY 2012 Formulary Submission Information

title: Release of Contract Year 2011 Bid Upload Functionality in HPMS

title: Continuation of Important Changes to the Low Income Subsidy Match Rate Project

title: Re-Determination of Low-Income Subsidy Eligibility for 2011

title: Invitation to Provide Feedback on the CY 2009 Bid Submission Process & the Bid Pricing Requirements

title: Privacy and Security of Beneficiary Information

title: Instructions to Data Validation Reviewers Regarding Scoring of Part C Measure and Part D Section Sta

title: Preview of the 2009 Addendum for Sponsors Offering Part D

title: Verify Contact Information for 2010 Call Center Monitoring

title: Update on the 2009 Part D Application Review

title: Contract Year 2012 Medication Therapy Management Program (MTMP) Submission

title: 2009 Model LIS Rider and Website Premium Summary Table

title: New Complaint Tracking Module and Parts C and D Plan Reporting Requirements Contacts in HPMS

title: 2007 Draft COB Guidelines - REVISED

title: Suspension of Pharmaceutical Manufacturer Rebates, Discounts, and Other Price Concessions Reporting

title: Plan Preview Periods for November 2008 Part C and Part D Plan Ratings

title: Invitation to Provide Feedback on the Contract Year 2012 Formulary Submission

title: CY 2010 Formulary and Supplemental File Submission Training Feedback

title: Release of the 2011 Plan Benefit Package and Bid Pricing Tool Software

title: Medicare Coverage Gap Discount Program beginning in 2011

title: CY 2009 Formulary Submission Outlier Justification Module

title: Analysis of Complaint Rates for Part D Sponsors

title: ACTION - Health Plan Management System (HPMS) Access

title: Part D Sponsors' Response to CMS-Issued Fraud Alerts

title: Release of the 2009 Plan Benefit and Bid Pricing Tool Software

title: Release of the CY 2009 Benefit Attestations in HPMS

title: Plan Preview of Appeals Measures for the Medicare Prescription Drug Plan Finder

title: Medicare Prescription Drug Benefit Manual - Chapter 13

title: Release of CY 2010 Bid Upload Functionality in HPMS

title: Process for Part D Sponsors to Request Changes to a Medication Therapy Management Program

title: End of the 2006 Part D Enrollment Period - Special Procedures

title: Premium Withhold Updates - INFORMATION

title: Q&A Addressing Drug Costs Reported on Prescription Drug Events (PDEs)

title: Plan Preview of Updated Part D Plan Ratings Data for the Medicare Prescription Drug Plan Finder

title: Part D Appeals Requirements

title: Automated TrOOP Balance Transfer Certification Testing Process

title: Contract Year 2012 Part D Transition Monitoring Program Analysis

title: Clarification of Exclusion of Part D Payment for Drugs Included in ESRD Prospective Payment

title: Medicare Fraud Strike Force

title: Implementation of Telecommunication Standard Version D.0

title: Draft Model Part D Letters - Mail-Order and Excluded Provider

title: 2012 Part C and Part D Call Center Monitoring and Guidance for Providing Services

title: 2009 Reports on Patient Safety Measures Available

title: Request for Comments Regarding Enhancements to the Part C and Part D Plan Ratings

title: Medicare Prescription Drug Benefit Manual - Chapter 14

title: Update - Contract Year 2012 Translated Marketing Materials Requirements and Methodology

title: Timely Submission of 4Rx Related Change Transactions

title: Change in Implemention Schedule for Automated TrOOP Balance Transfer Requirement

title: Update on the 2008 Model of Explanation of Benefits

title: Supplemental Drug Subject to Limited Distribution and Prior Authorization for Excluded Drugs

title: Prescriber Identifier on Part D NCPDP Pharmacy Claims Technician

title: Contingency Planning for the May 15 Initial Enrollment Period ( IEP) Deadline

title: Data Validation Training for Contractors

title: Medicare Part C Reporting Requirements: Benefit Utilitzation Measure - Update

title: Continuation of the LIS Match Rate and BAE Monitoring Projects

title: Required Update to HPMS Contact Management: Part D Functions

title: May 15 Enrollment Deadline

title: Contract Year 2009 Medication Therapy Management Program (MTMP) Submission

title: Request for Proposals for the "CMS: 2012 Medicare Prescription Drug Benefit Symposium"

title: Quality Assurance Checks on the Medicare Prescription Drug Plan Finder Tool

title: Contract Year 2012 Plan Benefit Package/Summary of Benefits Beta

title: Part D HPMS Memo: Expedited Processes for Application of Cost Sharing

title: CMS Offices Closed on 01/02/2012 and Reporting of Emergency NonTechnical Part C&D Issues

title: Release of the 2011 Plan Benefit Package (PBP) Training

title: Important HPMS Message to Passive SNPs

title: Enrollment Reconciliation Process

title: Miscellaneous 2008 Part D Formulary Issues

title: New Part D Claims Rejection Messages

title: Suspension of the Part C Benefit Utilization Measure

title: Timely Submission of 4Rx Data for CMS Generated Enrollments through User Interface

title: Contract Year 2012 Automated Health Services Delivery Review Process in HPMS

title: CY 2012 Modification to Practices for Part D Data Submitted and Posted on the Medicare Plan Finder

title: Submission of 2010 Beneficiary-level Medication Therapy Management Program Data

title: Clarification of Medicare Part D Policies with Respect to Overutilization

title: Verification of Pharmacy Call Center Phone Numbers in HPMS

title: Compliance Action Resulting from Unresolved Automated TrOOP Balance Transfer Transaction Problems

title: CY 2009 Formulary Submission Information

title: Bidding Instructions for Plans Offering Part D Employer/Union-Only Group Waiver Plans in CY 2011

title: Methodology for Using Various CMS Low Income Subsidy (LIS) Data Sources

title: Final CY 2012 Model Explanation of Benefits

title: Additional Clarification-Submission of Beneficiary-Level Medication Therapy Management Program Data

title: Level III Low-Income Cost Sharing in Plans with Deductibles Less Than $50

title: Customer Service Representative Scripting Concerning Premium Withhold

title: Request for Links to Coverage Determination and Redetermination Forms

title: Medicare Part C Reporting Requirements: Benefit Utilization Measure

title: Part C Reporting Requirements - Organization Determinations and Reconsiderations

title: Plan Preview of Display Measures on HPMS

title: Reminder of new Complaint System Requirements for Medicare Advantage Organizations and PDPs

title: 2013 Application Cycle Past Performance Review Methodology Update

title: Update on the Plan Rating System and Plan Finder Tool

title: Excluded Provider Guidance

title: Report on Timely Submission of 4Rx Related Change Transactions

title: Submission of Required Pricing Files

title: CY 2010 Plan Benefit Package Software Patch

title: 2012 Medicare CAHPS Survey Vendor Authorization Form

title: Changes to Part D Reporting Requirement - LTC Pharmacy Rebate Data

title: Medicare Coverage Gap Discount Program

title: CMS/FDA CY 2010 Non-Matched NDC List

title: Technical Plan Bidding Instructions for Orgs. Offering Part D Employer/Union-Only Group Waiver Plans

title: Monitoring Best Available Evidence (BAE) Policy

title: CY 2011 Formulary Submission Information

title: Reminder of the Part D Transition Policy

title: Distribution of New Long-Term Institutionalized Resident Report

title: Update to the Technical Specifications for Part C Medicare Advantage and 1876 Cost Plan Reporting

title: Update on the 2009 and 2010 Model Explanation of Benefits

title: Release of the 2010 Plan Benefit Package (PBP) Training

title: Long-Term Institutionalized Resident Report

title: Release of the 2010 Service Area Verification Functionality

title: Holiday Schedule for Plan Finder Communications re: Quality Assurance Checks

title: Reminder on Long-Term Care Pharmacy Contracting

title: Public Comment Period for Draft 2009 Call Leader

title: CY 2011 Formulary Updates

title: 2012 Quality Bonus Payment Determinations Administrative Review Process for Quality Bonus Payment

title: Draft Version of 2011 Model Explanation of Benefits (EOB)

title: Continuation of the Low Income Subsidy Match Rate Project

title: 2013 Quality Bonus Payment Determinations and Administrative Review Process

title: Part D Transition Policy Reminder

title: Contract Year 2011 Medication Therapy Management Program (MTMP) Submission

title: Prescription Drug Plan Sponsors

title: Update to the Technical Specifications for Part C Medicare Advantage and 1876 Cost Plan Reporting

title: CY 2012 Monitoring of Marketed Comprehensive Formularies

title: Guidance on Coordination of Benefits File Interpretation

title: 2011 Contracting Documents

title: Announcement of Spring 2009 Software Release

title: CY 2010 Formulary Enhancement Window and Marketing Information

title: Early Refill Edits on Topical Ophthalmic Products

title: Important Notice Regarding the Complaints Tracking Module Release

title: New Marketing Language Lookup Functionality in HPMS

title: Medicare Advantage Prescription Drug System (MARx) February 2009 Payment

title: California Pertussis Outbreak

title: 2012 HEDIS Submission Date

title: Updated Complaint Tracking Module (CTM) Categories and Subcategories; Hint for Complaint Assignment

title: Notice of Part D Sponsors Operating in Louisiana

title: Upcoming Complaints Tracking Module (CTM) Enhancements

title: Exclusion of Part D Payment for Drugs Included in the End-Stage Renal Disease Prospective Payment

title: Sponsors' Access to the Medicare Plan Finder (MPF) Communications Website

title: Updated Part D Sponsor Automated TrOOP Balance Transfer Operational Guidance

title: Complaint Tracking Module (CTM) and Casework Reminders

title: Contract Year 2012 Translated Marketing Materials Requirements and Methodology

title: 1st Plan Preview of CY2011 Part D Plan Ratings Data

title: Upcoming Changes Affecting Information Reporting (Nx) Transactions and Automated TrOOP Balance

title: Prescriber Identifier Reporting

title: Instructions for Obtaining Access to HPMS Plan Reporting Data Validation Module

title: Access to Retail Pharmacies Adequate Access to Home Infusion Update 2012 Application Submission

title: Final Medicare Part D Reporting Requirements for Contract Year (CY) 2011

title: Release of NOIA for CY 2013 Part C and Part D Contracts and Released Application Deadlines

title: Lessons Learned from the Medicare Part C and Part D Reporting Requirements

title: August Limited Update Window for CY 2011 Formulary Submissions

title: Medicare Coverage Gap Discount Program Appeals Guidance

title: Contract Year 2010 Medication Therapy Management Program Submission

title: Special Process for End-of-Year Pharmacy Benefit Manager (PBM)-related 4Rx Changes

title: 2012 Part C, Part D, Special Needs Plan and Employer/Union-Only Group Waiver Plan Applications

title: Unapproved Colchicine Products

title: Complaints Tracking Module Upload File Record Layout Changes

title: CY 2010 Part C Plan Ratings Preview Period

title: MTMP Monitoring Evaluation-Update

title: 2009 LIS Grace Period Policies

title: CMS Offices Closed on December 31, 2010 and Reporting of Emergency/Non Technical Part C&D Issues

title: Long-Term Institutionalized Resident Report

title: 2012 Application Cycle Past Performance Review Methodology

title: CY 2010 Medicare Advantage and Prescription Drug Readiness Checklist

title: REVISED Enhancement to the Medicare Plan Finder Tool / Modification of the Pricing Data Requirements

title: Change in the Definition of a "Medically Accepted Indication"

title: Updated Complaint Tracking Module Guidance on Standard Operating Procedures

title: MTMP Monitoring Support Data Collection

title: Reporting Deadline Extension for Q1 2008 Long-Term Care (LTC) Pharmacy Rebate Data

title: Recoupment of Louisiana Sales Tax Paid on Part D Claims in 2010

title: Call for Industry Comments on the Medicare Part C and Part D Data Validation Standards

title: Correction of Systems Problem Information and Issuance of Replacement COB Files

title: Non-Renewal and Service Area Reduction Guidance

title: Instructions for Obtaining Electronic Signature Access in the HPMS for Contract Year 2012

title: Contract Year 2010 Plan Benefit Package Alpha Testing

title: Business Associate Agreement with the TrOOP Facilitation Contractor

title: Contract Year 2011 Automated Health Services Delivery Review Process in HPMS

title: Medicare Coverage Gap Discount Program Guidance

title: CY 2009 Formulary Enhancement Window and Marketing Information

title: Changes Involving Medicare Eligibility Queries (E1) and Other TrOOP Facilitator-related Transactions

title: 2011 Part C & D Call Center Monitoring and Guidance to Limited English Proficient Beneficiaries

title: Continuation of the Low Income Subsidy Match Rate and Best Available Evidence Monitoring Projects

title: Process for Requesting an HPMS Crosswalk Exception for Contract Year 2012

title: Plan Preview of Display Measures for http://www.cms.hhs.gov/

title: Report on Timely Processing of Plan Generated Enrollment Requests

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

title: Supporting Electronic Prescribing under Medicare Part D

title: Final Approval of 2011 Medicare CAHPS Survey Vendors

title: 2011 Resource and Cost-Sharing Limits for Low-Income Subsidy

title: 2011 HEDIS, HOS and CAHPS Measures for Reporting by Medicare Advantage Organizations

title: Update to the Technical Specifications for Medicare Part D Reporting Requirements for CY 2010

title: Part D Patient Safety Measures-Updated NDC lists

title: UPDATED - Submission of Beneficiary-Level Medication Therapy Management Program Data

title: Contract Year 2011 Plan Benefit Package/Summary of Benefits Beta Testing

title: Implementation of the Unique Part D 4Rx Identifier Requirements

title: Contract Year 2012 Medicare Advantage and Part D Readiness Checklist

title: CY 2012 Out-of-Pocket Cost Model Version 3 Released on HPMS Administration Group

title: 2011 Medicare Part D Patient Safety Reports and Website Enhancements

title: Quality Assurance Checks for 2011 Data Submitted for Posting on the Medicare Plan Finder Tool

title: 2009 HEDIS, HOS and CAHPS Measures for Reporting by Medicare Managed Care Contractors

title: Updated Complaint Tracking Module Guidance on Standard Operating Procedures

title: Updated Patient-Level Data Information Available in HPMS HEDIS Module

title: Technical Specifications for Part C Medicare Advantage and 1876 Cost Plan Reporting

title: CY 2011 Medicare Advantage and Prescription Drug Plan Readiness Assessment Request

title: Upcoming Complaints Tracking Module Enhancements

title: Announcement of a New Stage of Monitoring for Best Available Evidence

title: CY 2010 Formulary Submission Information

title: Release of the CY 2010 Formulary Reference File

title: 2010 Contracting Documents

title: New Fraud Investigations Contact in HPMS

title: Release of the HPMS Fiscal Soundness Module

title: Plan Preview of Updated Part D Plan Ratings Data for the Medicare Prescription Drug Plan Finder

title: Corrected: Updates to Complaint Tracking Module Exclusion Criteria and CTM Casework Reminders

title: Instructions for Obtaining Bid Consultant Access in the Health Plan Management System for CY 2012

title: Release of CMS Standards for Selecting a Data Validation Contractor

title: Medicare Coverage Gap Discount Program - Low Dollar Amounts

title: CY 2009 Formulary Updates

title: Adequate Access to Home Infustion Pharmacies

title: Release of the 2012 PBP and BPT Software Related Technical Guidance for Part D EGWP

title: Parts C & D Reporting Requirements Data Analysis Project

title: Verification of Parent Organization for 2011

title: Improving Drug Utilization Review Controls in Part D

title: Claims for Drugs Prescribed or Dispensed by Excluded Providers

title: Reporting of Timely and Accurate ANOC/EOC Mailings for 2009 Benefit Year

title: Medicare Prescription Drug Benefit Manual - Chapter 5

title: Contract Year 2012 Plan Benefit Package Software Patch

title: Upcoming Complaints Tracking Module (CTM) Release

title: Long-Term Institutionalized Resident Report

title: Technical Revisions to the Model of Explanation of Benefits and Transition Letter

title: Update on the 2009 Model Explanation of Benefits

title: Updates to Complaint Tracking Module (CTM) Exclusion Criteria and CTM Casework Reminders

title: Revisions to the Model Part D Prescription Transfer Letter

title: Medicare Prescription Drug Benefit Manual - Chapter 5

title: CMS-4133-P Option for Prescription Drug Plans to Lower their Premiums for LIS Beneficiaries

title: Electronic Correspondence Referral System (ECRS) Teleconference - Training and Q & A Session

title: Release of the Contract Year 2012 Service Area Verification Functionality

title: Monitoring Parts C & D Reporting Website Access for Calendar Year 2011

title: Posting of Draft 2008 Prescription Drug Plan Solicitations for Public Comment

title: Updated Complaint Tracking Module Contract Related Report Exclusion Criteria and Casework Reminders

title: Clarification of LTE DESI Drugs and Oral Anti-Cancer Agents

title: 2010 Coverage Gap Rebate

title: State Health Insurance Assistance Program (SHIP) Unique ID Database

title: Release of the Final Prescription Drug Benefit Manual Chapter 14 - Coordination of Benefits

title: Final MA-PD and PDP Part D Audit Guides for Part D Program Audits

title: CY 2010 Formulary Updates

title: Final Medicare Part D Reporting Requirements for Contract Year 2009

title: Release of 2012 NOIA to Expand Service Area or Become a New Part C, Part D and Employer/Union Only

title: Submission of 2009 Beneficiary-Level Medication Therapy Management Program Data

title: 2007 Annual Enrollment Period (AEP) Processing Information

title: Contract Year 2010 Plan Benefit Package/Summary of Benefits Beta Testing

title: HPMS Preview of Public Plan Performance Metrics in Medicare Prescription Drug Plan Finder

title: Part D Sponsors Generic Dispensing Rate (GDR) Performance Metrics

title: Plan-to-Plan (P2P) Reconciliation Implementation - Phase II

title: Long-Term Institutionalized Resident Report

title: Final CY 2011 Model Explanation of Benefits (EOB)

title: 2009 Call Center Monitoring

title: Evidence of Coverage and Related Documents (Both PDP and MA Documents)

title: Clarification of Unique BIN (or BIN/PCN) Requirements as of January 1, 2012

title: Notifying Pharmacies of 2007 Changes in Contract/PBP and 4Rx Data

title: Part D Sponsors Pricing Performance Metric

title: Monthly Monitoring of Medicare Beneficiary Complaints

title: Important Updates for CY 2006 Reporting Requirements

title: Coordinating Benefits with Medicaid Managed Care Organizations

title: Ongoing Plan Responsibilities for Phase I Plan-to-Plan Reconciliation

title: Important Schedule Changes for 2007 Drug Pricing Data Submissions

title: Complaints Translated to English in the Complaints Tracking Module (CTM)

title: Notice of Intent to Change an Existing Contract Attribute for Existing Contractors

title: November 3rd HPMS Complaints Tracking Module Release (CTM) and Update to CTM Plan SOP

title: Draft Business Associate Agreement with the TrOOP Facilitator

title: 2007 Part D Messaging Themes

title: New Contract for Call Center Performance Measurements

title: State-to-Plan Reconciliation -- Updated Part D Plan Instructions

title: Late Enrollment Penalties for Plan Year 2006

title: Q&A - Lower Cash Price Policy

title: Formulary Drugs Missing Pricing Data on the Medicare Prescription Drug Plan Finder

title: Clarification on De Minimis Premium Policy for Low-Income Subsidy Beneficiaries

title: Low Income Subsidy Matching Activities

title: Impact of Change of Ownership on Re-Assignment of Low Income Subsidy Eligible Beneficiaries

title: Update to Acceptable Characters in the HPMS MA and PDP Marketing Modules

title: Access to Complaints Tracking Module (CTM)

title: ACTION - Attestation of Part D Pricing Approach due November 17, 2006

title: New Contact Fields in HPMS

title: Q&A for Call Center Requirements

title: Marketing Reminders for the Annual Enrollment Season

title: Part D Sponsors 4Rx Data - September 2006

title: Complaints Data Weekend Upload Schedule Change

title: Posting of 2007 Contract Materials and Instructions on HPMS

title: Part D Claims Messaging Requirement

title: Q&As - Safety Syringes, Clarification on a Part D Coverage Exclusion, & Unused Prescriptions

title: 2007 Medicare & You Handbook - Plan Data Preview

title: Requirements Critical for Ensuring Effective Enrollment of Dual Eligibles

title: Distribution of Marketing Materials Outside the Service

title: Immediate Action Casework Resolution Deadline Extension

title: Summary of Benefits

title: ICR/MR and IMD Pharmacy Network Contracting

title: Important Schedule Changes for Upcoming 2006 and 2007 Drug Pricing Data Submissions

title: Clarification Regarding September 25-26 Plan Preview for Medicare Options Compare (formerly MPPF)

title: Call Center Surveillance Data Update

title: Expectations for Customer Service Call Handling

title: Status of Premium Withhold Clean-Ups - INFORMATION

title: Reassignment of LIS-Eligible PDP Members Effective January 1, 2007

title: Q & A - Clarification regarding Part D Drug Definition

title: Updated Complaint Tracking Module (CTM) Guidance on Standard Operating Procedures

title: 2007 Contract Status Available for Viewing on HPMS

title: Part D Claims Messaging Requirement

title: Coordination of Benefits (COB) User Fee

title: Coordination of Benefits (COB) / True Out of Pocket (TrOOP) Attestation

title: Closing Repeat Complaints in the Complaint Tracking Module

title: Changes to Part D Sponsors' Medication Therapy Management Program (MTMP)

title: 2007 Plan Marketing and the Annual Enrollment Period (AEP)

title: 2007 MA and PDP Enrollment and Disenrollment Guidance -- UPDATES

title: Q & A - Patient Assistance Programs

title: Re-Determination of Low-Income Subsidy (LIS) Eligibility for 2007

title: Notice Regarding the 2007 Medicare & You Handbook

title: Part D Sponsors Appeals Performance Metrics

title: Complaints Tracking Module

title: Medicare Demonstration to Transition Enrollment of Low Income Subsidy Beneficiaries

title: Q&As: Specialty Pharmacy Access and Best Available Data

title: Reduction of Outstanding Immediate Action Complaints

title: Resolution of Medicare Beneficiary Complaints

title: Submission of 4RX Data - ACTION

title: June 23 HPMS Complaints Tracking Module (CTM) Release

title: Posting of the Annual Report by Plan

title: Call Center Performance Metric Comparison

title: Analysis of Complaint Rates for Part D Sponsors

title: Enrollment - Special Procedures - UPDATE

title: Final 2007 Transition Guidance

title: Compliance with HIPAA Administrative Simplification Provisions

title: Pharmacy Network Adequacy

title: Part D Sponsors 4Rx Data

title: REVISED--Addit opps for individs affected by Hurr Katrina to join and switch Plans, including PDPs

title: Q&As - Erectile Dysfunction Drugs and LIS Incorrect Cost-Sharing

title: MARx June Payment - INFORMATION

title: Coordination of Benefits (COB) User Fee

title: Clarification of Special Enrollment Period Policy

title: Modified Q&A Addressing Drug Costs Reported on Prescription Drug Events (PDEs)

title: Refills During States of Emergency

title: Expedited Review of New Drugs or New Indications for Drugs in the Six Classes of Clinical Concern

title: Q&A: Insulin Syringes Used in the LTC Setting

title: 2006 Compliance Conference

title: June 23 HPMS Complaints Tracking Module Release

title: Plan-to-Plan EOB Transfer Instructions

title: Q&A Addressing Drug Costs Reported on Prescription Drug Events (PDEs)

title: Status of SPAP Beneficiaries

title: LIS Benchmark Calculations

title: Risk Adjustment Impacts and Scores under the 2007 CMS-HCC model

title: Part D Sponsors Call Center Surveillance Update

title: CMS Clarification of Coverage of Prescription Niacin Under Part D

title: Announcement regarding Late Enrollment Penalties for Plan Year 2006

title: Final Reminder - CY 2007 Bid Upload Requirements

title: Discontinue Incident Reporting for Part D Plan Sponsors

title: FAQs on Exceptions and Appeals

title: 60 Day Public Comment Period for 2007 Part D Reporting Requirements

title: Resolution of Medicare Beneficiary Urgent Complaints

title: Part D Complaints Assigned to the Parent Organization

title: Plan to Plan Reconciliation

title: Pricing File Suppressions from the Medicare Prescription Drug Plan Finder

title: Medicare Part D Benefit Parameters: Annual Adjustments for Standard Benefit in 2007

title: Coordination of Benefits (COB) Contact - Memo Retraction Notice

title: Critical Steps as Transition Period Ends

title: Plan-to-Plan EOB Transfer

title: QA Addressing Drug Costs Reported on Prescription Drug Events (PDEs)

title: Q&A - Clarification of Long Term Care (LTC) Contracting

title: Part C and D Weekly Bulletin - May 12, 2006

title: Public Release of Part D Plan Enrollment Data

title: Medication Therapy Management Program Submission Process

title: Ensuring Beneficiary Elections Prevail over Facilitated Enrollments into PDPs

title: Notice of Qualification to Renew Prescription Drug Plan Contract

title: Part C & D Weekly Bulletin - May 9, 2006

title: Part D Claims Messaging Requirement

title: 2007 MA, MA-PD, and Stand-Alone PDP Call Letter Training Agenda

title: Complaints Tracking Improvement

title: REVISED Exceptions and Appeals Website Requirements

title: Notice of Qualification to Renew MA, MA-PD Plan or Cost-PD Plan Contract

title: CY 2007 Bid Upload Requirements

title: Plan-to-Plan Reconciliation

title: New Distribution Process for the Daily Complaints Tracking File

title: CTM User's Manual

title: Facilitated Enrollment Notice and Mailing Schedule

title: Correction to 3/17/06 Guidance on Facilitated Enrollment of Low-Income Subsidy (LIS) Beneficiaries

title: Instructions for Contract Year 2007

title: Formulary Changes During the Plan Year

title: Part C & D Weekly Bulletin (week of April 17, 2006)

title: Premium Withhold Processing

title: Important HPMS Message to Passive SNPs (Revised Memo)

title: Next Steps on Formulary Transition Policies

title: Agenda - Advance Notice 2007 Call Today

title: "Tip Sheet" for Identifying People with Medicare who are Eligible for Extra Help

title: Updated Guidance - Changes to Effective Date of MA and 1876 Cost Plan Auto-Enrollments and Notice

title: Draft 2007 MA and Part D Bid Pricing Tools and Instructions are Released for OMB Clearance

title: Additional PBP and HPMS sessions - CMS Annual Bidding Conference

title: Proxy NDC Reassignment on the Formulary Reference NDC File for CY 2007 Formulary Submissions

title: Due Diligence in Prior Authorization of Part B versus Part D Coverage Determinations

title: Clarif for the 07 Retail Pharmacy Access Submission for Entities that Also Offer Employer/Union-Only

title: Clarification for 2007 Retail Pharmacy Access Submission from the Medicare Drug Benefit Group

title: Establish CMS Casework Communication Email box & Update Contacts in HPMS

title: Access to Exceptions and Appeals Information on Plan Website

title: CDC Health Alert on Influenza

title: Home Infusion Therapy

title: CMS' Expectations of Part D Sponsors

title: Release of Formulary Reference NDC File for CY 2007 Formulary Submissions

title: Requirements for Submitting Prescription Drug Event Data

title: Today's Compliance E-Mails

title: Updated Guidance - Changes to Effective Date and PDP Notice Rqmnts for Auto and Facilitated Enrollme

title: Early Enrollment

title: New drug within the six classes of clinical concern - Nexavar

title: Part D Call Center Requirements

title: Long-Term Care Pharmacy Claims Transactions

title: Draft 2007 MA, MA-PD, and PDP Call Letters

title: Distribution of Enrollment Information Contained in HPMS

title: Enrollment Reconciliation Process - IMMEDIATE ACTION

title: CMS Annual Bidding Conference Announcement

title: Establish Part D Exceptions Contact & Update Part D Appeals Contact in HPMS

title: Conference Call Re: Advance Notice 2007

title: Advance Notice of Methodological Changes for Calendar Year 2007

title: Daily Casework File from 1-800-MEDICARE

title: Advance Notice Conference Call - February 21, 2006

title: March Prescription Drug Explanation of Benefits (EOB)

title: Additional opportunities for indiv affected by Hurr Katrina have to join & switch Medicare Plans

title: Part D Drugs/Part D Excluded Drugs

title: Instructions and Revised Exhibit for Enrolling FBDE Individuals in Plans with Drug Benefits

title: Part D Outreach to Medical Specialty Groups and Long Term Care Associations