2496 lines
197 KiB
HTML
2496 lines
197 KiB
HTML
<!DOCTYPE html>
|
||
<html lang="en" dir="ltr">
|
||
<head>
|
||
<meta charset="utf-8" />
|
||
<script src="https://tealium-tags.cms.gov/cms-www/prod/utag.sync.js" type="text/javascript"></script>
|
||
<meta name="description" content="Medicare Advantage Prescription Drug (MAPD) Help Desk offers technical and functional support for the Medicare Advantage Health and Prescription Drug Coverage (Parts C and D) Programs. This insurance coverage is provided by:Medicare Advantage (MA) Plans.Medicare Advantage Prescription Drug (MAPD) Plans.Medicare Prescription Drug Plans (PDPs)Third parties conducting data exchanges with CMS on behalf of MA/MAPD/PDPs.Technical Support for Plan Connectivity and Access:" />
|
||
<link rel="canonical" href="https://www.cms.gov/mapd-helpdesk" />
|
||
<meta name="Generator" content="Drupal 10 (https://www.drupal.org)" />
|
||
<meta name="MobileOptimized" content="width" />
|
||
<meta name="HandheldFriendly" content="true" />
|
||
<meta name="viewport" content="width=device-width, initial-scale=1.0" />
|
||
<link rel="icon" href="/sites/default/files/favicon.ico" type="image/vnd.microsoft.icon" />
|
||
<link rel="apple-touch-icon" href="/themes/custom/cms_evo/images/cms.gov-footer.png" />
|
||
</head-placeholder>
|
||
<title>MAPD Help Desk | CMS</title>
|
||
<link rel="stylesheet" media="all" href="/sites/default/files/css/css_zSQPvZArtp0tWscwX4y2kB60Wu5sDCNrsyGc2rCAiSA.css?delta=0&language=en&theme=cms_evo&include=eJxdzOsKgzAMBeAXUvtIkrWplOUiSSq4p5_KENyv5HzhJL-xtFCbIWe10lTSvU3VVAKlDJl9xk3TOWsjfADjAozSbySsMQps46l-McGuPTy9wI-yGqZifQWaoIdm5ZUwfgdRY6D2wYGbNDWQBWcHpvSXJyiHDL57IF-fv0oJUDE" />
|
||
<link rel="stylesheet" media="all" href="/sites/default/files/css/css_F9cXlZAph5ulhhZmV0EBoDu8J9eMygHvDBxt7pI5Vjk.css?delta=1&language=en&theme=cms_evo&include=eJxdzOsKgzAMBeAXUvtIkrWplOUiSSq4p5_KENyv5HzhJL-xtFCbIWe10lTSvU3VVAKlDJl9xk3TOWsjfADjAozSbySsMQps46l-McGuPTy9wI-yGqZifQWaoIdm5ZUwfgdRY6D2wYGbNDWQBWcHpvSXJyiHDL57IF-fv0oJUDE" />
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<link rel="stylesheet" media="print" href="/sites/default/files/css/css_v9y7V1pmUpDh4vsyWVB98BCY2H1o0eCbi0PSItMLFWk.css?delta=2&language=en&theme=cms_evo&include=eJxdzOsKgzAMBeAXUvtIkrWplOUiSSq4p5_KENyv5HzhJL-xtFCbIWe10lTSvU3VVAKlDJl9xk3TOWsjfADjAozSbySsMQps46l-McGuPTy9wI-yGqZifQWaoIdm5ZUwfgdRY6D2wYGbNDWQBWcHpvSXJyiHDL57IF-fv0oJUDE" />
|
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<link rel="stylesheet" media="all" href="/sites/default/files/css/css_YPK1WEp9t2-HrfzeP-vF8H5TEo6kQd75aEU0JxqfyTc.css?delta=3&language=en&theme=cms_evo&include=eJxdzOsKgzAMBeAXUvtIkrWplOUiSSq4p5_KENyv5HzhJL-xtFCbIWe10lTSvU3VVAKlDJl9xk3TOWsjfADjAozSbySsMQps46l-McGuPTy9wI-yGqZifQWaoIdm5ZUwfgdRY6D2wYGbNDWQBWcHpvSXJyiHDL57IF-fv0oJUDE" />
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||
</css-placeholder>
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||
</js-placeholder>
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||
</head>
|
||
<body class="page-node-173396 layout-builder-view-mode path-node page-node-type-section-page">
|
||
<div class='ds-u-visibility--screen-reader' id='liveText' aria-live='polite'></div>
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||
|
||
<div class="dialog-off-canvas-main-canvas" data-off-canvas-main-canvas>
|
||
<header id="header" class="header" role="banner" aria-label="Site header">
|
||
<a href="#skipNavTarget" class="visually-hidden focusable skip-link">Skip to main content</a>
|
||
|
||
<section class="ds-c-usa-banner" aria-label="Official website of the United States government">
|
||
<div class="ds-l-container">
|
||
<div class="ds-l-row">
|
||
<div class="ds-l-col--12">
|
||
<header class="ds-c-usa-banner__header ds-u-padding-x--0 ds-u-padding-y--05">
|
||
<svg aria-hidden="true" class="ds-c-icon ds-c-icon--usa-flag ds-c-usa-banner__header-icon" viewbox="0 0 16 11" xmlns="http://www.w3.org/2000/svg">
|
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<g fill="none" fill-rule="evenodd">
|
||
<path fill="#FFF" d="M0 0h16v11H0z"></path>
|
||
<path fill="#DB3E1F" d="M8 0h8v1H8z"></path>
|
||
<path fill="#1E33B1" d="M0 0h8v7H0z"></path>
|
||
<path fill="#DB3E1F" d="M8 2h8v1H8zM8 4h8v1H8zM8 6h8v1H8zM0 8h16v1H0zM0 10h16v1H0z"></path>
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<path fill="#FFF" d="M1 1h1v1H1zM2 3h1v1H2zM1 5h1v1H1zM3 1h1v1H3zM4 3h1v1H4zM3 5h1v1H3zM5 1h1v1H5zM6 3h1v1H6zM5 5h1v1H5z"></path>
|
||
</g>
|
||
</svg>
|
||
<p class="ds-c-usa-banner__header-text">An official website of the United States government</p>
|
||
<p class="ds-c-usa-banner__action ds-u-align-items--center ds-u-md-display--none ds-u-display--flex">Here's how you know<svg aria-hidden="true" class="ds-c-icon ds-c-icon--arrow ds-c-icon--arrow-down ds-c-usa-banner__action-icon" viewbox="0 0 320 512" xmlns="http://www.w3.org/2000/svg" direction="down">
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||
<path fill="currentColor" d="M285.476 272.971L91.132 467.314c-9.373 9.373-24.569 9.373-33.941 0l-22.667-22.667c-9.357-9.357-9.375-24.522-.04-33.901L188.505 256 34.484 101.255c-9.335-9.379-9.317-24.544.04-33.901l22.667-22.667c9.373-9.373 24.569-9.373 33.941 0L285.475 239.03c9.373 9.372 9.373 24.568.001 33.941z"></path>
|
||
</svg>
|
||
</p>
|
||
<button type="button" class="ds-c-usa-banner__button ds-u-font-weight--normal" aria-expanded="false" aria-controls="usa-banner--17__panel">
|
||
<span class="ds-c-usa-banner__button-text ds-u-md-display--flex ds-u-align-items--center">Here's how you know<svg aria-hidden="true" class="ds-c-icon ds-c-icon--arrow ds-c-icon--arrow-down ds-c-usa-banner__action-icon" viewbox="0 0 320 512" xmlns="http://www.w3.org/2000/svg" direction="down">
|
||
<path fill="currentColor" d="M285.476 272.971L91.132 467.314c-9.373 9.373-24.569 9.373-33.941 0l-22.667-22.667c-9.357-9.357-9.375-24.522-.04-33.901L188.505 256 34.484 101.255c-9.335-9.379-9.317-24.544.04-33.901l22.667-22.667c9.373-9.373 24.569-9.373 33.941 0L285.475 239.03c9.373 9.372 9.373 24.568.001 33.941z"></path>
|
||
</svg>
|
||
</span>
|
||
<span class="ds-c-usa-banner__button-icon-container" hidden="">
|
||
<svg aria-hidden="true" class="ds-c-icon ds-c-icon--close ds-c-icon--close-thin ds-c-usa-banner__button-icon" viewbox="-2 -2 18 18" xmlns="http://www.w3.org/2000/svg">
|
||
<path fill="none" stroke="currentColor" stroke-linecap="round" stroke-width="2" d="M0 13.0332964L13.0332964 0M13.0332964 13.0332964L0 0"></path>
|
||
</svg>
|
||
</span>
|
||
</button>
|
||
</header>
|
||
<div class="ds-c-usa-banner__guidance ds-u-leading--base ds-u-font-size--base">
|
||
<div id="usa-banner--17__panel" class="ds-c-usa-banner__guidance-container" hidden="">
|
||
<div class="ds-c-usa-banner__guidance-item">
|
||
<svg aria-hidden="true" class="ds-c-icon ds-c-icon--building-circle ds-c-usa-banner__guidance-icon" viewbox="0 0 54 54" xmlns="http://www.w3.org/2000/svg">
|
||
<g>
|
||
<path class="ds-c-icon--building-circle__building" fill="currentColor" d="M36.5,20.91v1.36H35.15a0.71,0.71,0,0,1-.73.68H18.23a0.71,0.71,0,0,1-.73-0.68H16.14V20.91l10.18-4.07Zm0,13.57v1.36H16.14V34.48a0.71,0.71,0,0,1,.73-0.68h18.9A0.71,0.71,0,0,1,36.5,34.48ZM21.57,23.62v8.14h1.36V23.62h2.71v8.14H27V23.62h2.71v8.14h1.36V23.62h2.71v8.14h0.63a0.71,0.71,0,0,1,.73.68v0.68H17.5V32.45a0.71,0.71,0,0,1,.73-0.68h0.63V23.62h2.71Z"></path>
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<circle class="ds-c-icon--building-circle__circle" fill="none" cx="50%" cy="50%" r="47%" stroke="currentColor" stroke-width="1"></circle>
|
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</g>
|
||
</svg>
|
||
<p class="ds-c-usa-banner__guidance-text">
|
||
<strong>Official websites use .gov</strong><br>A
|
||
<strong>
|
||
.gov
|
||
</strong>website belongs to an official government organization in the United States.</p>
|
||
</div>
|
||
<div class="ds-c-usa-banner__guidance-item">
|
||
<svg aria-hidden="true" class="ds-c-icon ds-c-icon--lock-circle ds-c-usa-banner__guidance-icon" viewbox="0 0 54 54" xmlns="http://www.w3.org/2000/svg">
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||
<path fill="currentColor" d="M34.72,34.84a1.29,1.29,0,0,1-1.29,1.29H20.57a1.29,1.29,0,0,1-1.29-1.29V27.12a1.29,1.29,0,0,1,1.29-1.29H21V23.26a6,6,0,0,1,12,0v2.57h0.43a1.29,1.29,0,0,1,1.29,1.29v7.72Zm-4.29-9V23.26a3.43,3.43,0,0,0-6.86,0v2.57h6.86Z"></path>
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||
<circle fill="none" stroke="currentColor" stroke-width="1" cx="50%" cy="50%" r="47%"></circle>
|
||
</svg>
|
||
<p class="ds-c-usa-banner__guidance-text">
|
||
<strong>Secure .gov websites use HTTPS</strong><br>A
|
||
<strong>lock
|
||
</strong>(<svg aria-hidden="true" class="ds-c-icon ds-c-icon--lock ds-c-usa-banner__inline-lock-icon" viewbox="0 0 52 64" xmlns="http://www.w3.org/2000/svg">
|
||
<path fill-rule="evenodd" d="M26 0c10.493 0 19 8.507 19 19v9h3a4 4 0 0 1 4 4v28a4 4 0 0 1-4 4H4a4 4 0 0 1-4-4V32a4 4 0 0 1 4-4h3v-9C7 8.507 15.507 0 26 0zm0 8c-5.979 0-10.843 4.77-10.996 10.712L15 19v9h22v-9c0-6.075-4.925-11-11-11z"></path>
|
||
</svg>)<span>
|
||
or</span>
|
||
<strong>
|
||
https://
|
||
</strong>means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.</p>
|
||
</div>
|
||
</div>
|
||
</div>
|
||
</div>
|
||
</div>
|
||
</div>
|
||
</section>
|
||
|
||
|
||
<div class="ds-l-container cms-tracker--header-top">
|
||
<div class="ds-l-row">
|
||
<div class="header-top-wrapper ds-l-md-col--12">
|
||
<button id="js-navbar-toggle" class="navbar-toggle navbar-toggle-primary-menu ds-u-lg-display--none" aria-expanded="false" aria-label="Open Main" aria-haspopup="true">
|
||
<i class="fal fa-bars" focusable="false"></i>
|
||
</button>
|
||
<div class="region region-cms-header-primary">
|
||
<div id="block-cms-evo-sitebranding" data-block-plugin-id="system_branding_block" class="block block-system block-system-branding-block">
|
||
|
||
|
||
<div class="site-logo">
|
||
<a href="/" rel="home">
|
||
<img src="/themes/custom/cms_evo/logo.svg" alt="CMS.gov" />
|
||
</a>
|
||
</div>
|
||
<div class="ds-u-lg-display--block ds-u-display--none site-slogan">
|
||
Centers for Medicare & Medicaid Services
|
||
</div>
|
||
<div class="newsroom-branding">
|
||
<h2 class="ds-u-lg-font-size--xl ds-u-color--white ds-u-margin--0 ds-u-font-weight--semibold">
|
||
<a href="/about-cms/contact/newsroom" rel="home" class="ds-u-color--white ds-u-text-decoration--none">CMS Newsroom</a>
|
||
</h2>
|
||
</div>
|
||
</div>
|
||
|
||
</div>
|
||
|
||
<div class="region region-cms-header-secondary ds-u-display--none ds-u-lg-display--flex">
|
||
<nav aria-label=Secondary id="block-cmsglobalsecondarymenu2" data-block-plugin-id="system_menu_block:cms-global-secondary-menu-2" class="ds-u-display--none ds-u-lg-display--block header-menu--secondary" >
|
||
|
||
<span class="visually-hidden" id="block-cmsglobalsecondarymenu2-menu">Header</span>
|
||
|
||
|
||
|
||
<ul region="cms_header_secondary" class="menu cms-evo-unstyled-list ds-u-display--flex">
|
||
<li class="menu-item">
|
||
<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926">About CMS</a>
|
||
</li>
|
||
<li class="menu-item">
|
||
<a href="/about-cms/contact/newsroom" class="menu-item-link" data-drupal-link-system-path="node/43871">Newsroom</a>
|
||
</li>
|
||
<li class="menu-item">
|
||
<a href="/data-research" class="menu-item-link" data-drupal-link-system-path="node/132891">Data & Research</a>
|
||
</li>
|
||
</ul>
|
||
|
||
|
||
</nav>
|
||
|
||
|
||
<div class="search-block-form block block-search block-search-form-block header-search-block" data-drupal-selector="search-block-form" id="block-cms-evo-searchform" data-block-plugin-id="search_form_block" role="search" aria-label="header site search">
|
||
|
||
|
||
<div class="content">
|
||
<h2 class="ds-u-margin-top--0 ds-u-lg-display--none ds-u-border-bottom--0 ds-u-margin-bottom--2 ds-u-padding-bottom--0">Search CMS.gov</h2>
|
||
<form region="cms_header_secondary" action="/search/cms" method="get" id="search-block-form" accept-charset="UTF-8">
|
||
<div class="js-form-item form-item js-form-type-search form-item-keys js-form-item-keys form-no-label">
|
||
<label for="edit-keys" class="ds-c-label visually-hidden">Search</label>
|
||
|
||
|
||
<label class="ds-u-visibility--screen-reader" for="header-search-input">Search</label>
|
||
<input title="Enter the terms you wish to search for." data-drupal-selector="edit-keys" class="form-autocomplete form-search ds-c-field ds-u-lg-display--none" data-autocomplete-path="/suggestion/autocomplete" data-region="cms_header_secondary" data-twig-suggestion="cms_header_secondary--search-form-block" type="search" id="header-search-input" name="keys" value="" size="15" maxlength="128" placeholder="Search for keywords, topics or resources" autocomplete="off"/>
|
||
<button class="cms-clear-button ds-u-display--none" type="button" aria-controls="header-search-input hidden-header-list-wrapper" aria-label="clear search entry"><i class="fal fa-times"></i></button>
|
||
|
||
<div class="cms-popular-search-terms ds-u-display--block ds-u-lg-display--none" id="hidden-header-list-wrapper">
|
||
<span id="list-header" class="cms-list-header">Popular terms</span>
|
||
<ul aria-labelledby="list-header">
|
||
<li><span class="term">Physician Fee Schedule</span><i class="far fa-long-arrow-right" focusable="false"></i></li> <li><span class="term">Local Coverage Determination</span><i class="far fa-long-arrow-right" focusable="false"></i></li> <li><span class="term">Medically Unlikely Edits</span><i class="far fa-long-arrow-right" focusable="false"></i></li> <li><span class="term">Telehealth</span><i class="far fa-long-arrow-right" focusable="false"></i></li> <li><span class="term">Covid-19</span><i class="far fa-long-arrow-right" focusable="false"></i></li> </ul>
|
||
</div>
|
||
|
||
</div>
|
||
<div data-drupal-selector="edit-actions" class="form-actions js-form-wrapper form-wrapper" id="edit-actions--IF4ZucrjGyU"><div class="header-search-bar">
|
||
<input data-drupal-selector="edit-submit" data-twig-suggestion="cms_header_secondary--search-submit" type="submit" id="edit-submit--j5_08rb2dws" value="Search" class="button js-form-submit form-submit ds-c-button ds-c-button--solid" />
|
||
<i class="fas fa-search" focusable="false"></i>
|
||
</div></div>
|
||
|
||
</form>
|
||
|
||
</div>
|
||
</div>
|
||
|
||
</div>
|
||
|
||
<button id="js-searchbar-toggle" class="searchbar-toggle ds-u-lg-display--none" aria-expanded="false" aria-label="Open Site Search" aria-haspopup="true">
|
||
<i class="fal fa-search" focusable="false"></i>
|
||
</button>
|
||
</div>
|
||
</div>
|
||
</div>
|
||
<div class="header-main-menu-wrapper cms-tracker--header-main-menu">
|
||
<div class="ds-l-container">
|
||
<div class="ds-l-row">
|
||
<div class="ds-l-col--12">
|
||
|
||
<div class="region region-cms-header-navigation ds-u-display--none ds-u-lg-display--block">
|
||
<nav aria-label="CMS.gov main menu" id="block-cmsglobalprimarymenu2" data-block-plugin-id="system_menu_block:cms-global-primary-menu-2" class="cms-tracker--menu-block">
|
||
|
||
|
||
|
||
|
||
|
||
|
||
<h2 class="mobile-heading">CMS.gov main menu</h2>
|
||
<ul region="cms_header_navigation" class="menu menu-level--one cms-evo-unstyled-list">
|
||
|
||
|
||
<li class="menu-item menu-item--l1 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Medicare</span>
|
||
<div class="subnav-wrapper--1 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-main ds-u-lg-display--none">Back to main menu</span>
|
||
<h2 class="subnav-title-h2" style="position:relative;text-align:left;width:auto;height:auto;">section title h2</h2>
|
||
</div>
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Enrollment & renewal</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/enrollment-renewal/original-part-a-b" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171311">Original Medicare (Part A and B) Eligibility and Enrollment</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare-participation" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1569911">Annual Medicare Participation Announcement</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/enrollment-renewal/providers-suppliers" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1316821">Providers & suppliers</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/enrollment-renewal/managed-care-eligibility-enrollment" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171286">Medicare Managed Care Eligibility and Enrollment</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/enrollment-renewal/part-d-enrollment-eligibility" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171306">Part D Eligibility and Enrollment</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/enrollment-renewal/health-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170951">Health plans</a>
|
||
</li>
|
||
</ul>
|
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</div>
|
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</div>
|
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|
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|
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<li class="menu-item menu-item--l2 menu-item--expanded">
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<span class="menu-item-element" aria-current="false">Coverage</span>
|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
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|
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<div class="menu-wrapper">
|
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<ul class="menu">
|
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|
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|
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<li class="menu-item menu-item--l3 menu-item--collapsed">
|
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<a href="/medicare/coverage/determination-process" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/169996">Coverage Determination Process</a>
|
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</li>
|
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<li class="menu-item menu-item--l3">
|
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<a href="https://www.cms.gov/medicare-coverage-database/search.aspx" class="menu-item-element" aria-current="false">Medicare Coverage Database</a>
|
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|
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<a href="/medicare/coverage/approved-facilities-trials-registries" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170086">Approved facilities, trials, & registries</a>
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<a href="/medicare/coverage/summary-notice" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/174996">Medicare Summary Notice</a>
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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</li>
|
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|
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<a href="/medicare/regulations-guidance/geographic-classification-review-board" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172611">Medicare Geographic Classification Review Board (MGCRB)</a>
|
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|
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|
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<a href="/medicare/regulations-guidance/physician-self-referral" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170671">Physician Self-Referral</a>
|
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</li>
|
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<li class="menu-item menu-item--l3">
|
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<a href="/files/document/medqtrlycompnlarchive072019003pdf" class="menu-item-element" aria-current="false" data-drupal-link-system-path="media/276891">Quarterly provider updates</a>
|
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</li>
|
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|
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<a href="/medicare/regulations-guidance/electronic-prescribing" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171181">E-Prescribing</a>
|
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</li>
|
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</ul>
|
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</div>
|
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</div>
|
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</li>
|
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<li class="menu-item menu-item--l2 menu-item--expanded">
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<span class="menu-item-element" aria-current="false">Coding & billing</span>
|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
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<ul class="menu">
|
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<li class="menu-item menu-item--l3 menu-item--collapsed">
|
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<a href="/medicare/coding-billing/place-of-service-codes" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171996">Place of service codes</a>
|
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</li>
|
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<li class="menu-item menu-item--l3 menu-item--collapsed">
|
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<a href="/medicare/coding-billing/icd-10-codes" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171421">ICD-10 codes</a>
|
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</li>
|
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<li class="menu-item menu-item--l3 menu-item--collapsed">
|
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<a href="/medicare/coding-billing/healthcare-common-procedure-system" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171561">Healthcare Common Procedure Coding System (HCPCS)</a>
|
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</li>
|
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|
||
<a href="/medicare/coding-billing/outpatient-code-editor" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171341">Integrated Outpatient Code Editor</a>
|
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</li>
|
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|
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<a href="/medicare/coding-billing/ncci-medicare" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1617246">National Correct Coding Initiative (NCCI) edits</a>
|
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|
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|
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<a href="/medicare/coding-billing/ncci-medicaid" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1617251">NCCI for Medicaid</a>
|
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|
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<a href="/medicare/coding-billing/electronic-billing" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170371">Electronic billing</a>
|
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</li>
|
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|
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<a href="/medicare/coding-billing/medicare-administrative-contractors-macs" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/177546">Medicare Administrative Contractors (MACs)</a>
|
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</li>
|
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|
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<a href="/medicare/coding-billing/provider-customer-service-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/176031">Provider Customer Service Program</a>
|
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</li>
|
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<li class="menu-item menu-item--l3 menu-item--collapsed">
|
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<a href="/medicare/coding-billing/skilled-nursing-facility-snf-consolidated-billing" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170676">Skilled Nursing Facility (SNF) consolidated billing</a>
|
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</li>
|
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<li class="menu-item menu-item--l3">
|
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<a href="/roster-billing" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1612841">Roster billing</a>
|
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</li>
|
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<li class="menu-item menu-item--l3 menu-item--collapsed">
|
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<a href="/medicare/coding-billing/therapy-services" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170641">Therapy services</a>
|
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|
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|
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<a href="/medicare/coding-billing/claims-public-health-emergencies" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1620676">Medicare claims & public health emergencies</a>
|
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|
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|
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<a href="/medicare/coding-billing/guide-medical-technology-companies-other-interested-parties" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1899941">Guide for Medical Technology Companies and Other Interested Parties</a>
|
||
</li>
|
||
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|
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</div>
|
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</div>
|
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<li class="menu-item menu-item--l2 menu-item--expanded">
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<span class="menu-item-element" aria-current="false">Payment</span>
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<div class="subnav-wrapper--2 ds-u-display--none">
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<div class="subnav-header">
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
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</div>
|
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<div class="menu-wrapper">
|
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<ul class="menu">
|
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|
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|
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<li class="menu-item menu-item--l3 menu-item--collapsed">
|
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<a href="/medicare/payment/fee-for-service-providers/part-b-drugs/average-drug-sales-price" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170451">Medicare Part B Drug Average Sales Price</a>
|
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|
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<a href="/medicare/payment/fee-for-service-providers" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193361">All Fee-For-Service-Providers</a>
|
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<a href="/medicare/payment/fee-schedules" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170661">Fee schedules</a>
|
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|
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|
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<a href="/medicare/payment/prospective-payment-systems" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170741">Prospective Payment Systems</a>
|
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|
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|
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<a href="/medicare/payment/opioid-treatment-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1289826">Opioid Treatment Programs (OTP)</a>
|
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|
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|
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<a href="/covidvax-provider" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1483486">Covid-19 Vaccine Toolkit</a>
|
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|
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|
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<a href="/medicare/payment/bankruptcy" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/185906">Bankruptcy</a>
|
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|
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<li class="menu-item menu-item--l3">
|
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<a href="/medicare/payment/sustainable-growth-rates-conversion-factors" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/169931">Sustainable Growth Rates & Conversion Factors</a>
|
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|
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<a href="/medicare/payment/medicare-advantage-rates-statistics" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/169841">Medicare Advantage Rates & Statistics</a>
|
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</li>
|
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</div>
|
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|
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<li class="menu-item menu-item--l2 menu-item--expanded">
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<span class="menu-item-element" aria-current="false">Medicare-Medicaid coordination</span>
|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
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<ul class="menu">
|
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<a href="/medicare/medicaid-coordination/about" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/174821">Qualified Medicare beneficiary program</a>
|
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|
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<a href="/medicare/medicaid-coordination/center-program-integrity/resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/674936">Resources</a>
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<a href="/medicare/medicaid-coordination/about/qualified-medicare-beneficiary-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/184631">Qualified Medicare beneficiary program</a>
|
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|
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<a href="/medicare/medicaid-coordination/center-program-integrity/spotlight" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/674941">Spotlight</a>
|
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|
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<a href="/medicare/medicaid-coordination/center-program-integrity/events" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/674946">Events</a>
|
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|
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|
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<a href="/medicaid-chip/medicare-coordination/financial-alignment" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/178246">Financial alignment initiative</a>
|
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|
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|
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<a href="/medicaid-chip/medicare-coordination/avoidable-hospitalizations" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/181236">Initiative to reduce avoidable hospitalizations </a>
|
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<a href="/medicare/medicaid-coordination/center-program-integrity/reports-guidance" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/674951">Reports & Guidance</a>
|
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<li class="menu-item menu-item--l3">
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<a href="/medicare/medicaid-coordination/pace" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175651">Program of All-Inclusive Care for the Elderly (PACE)</a>
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|
||
<a href="/medicare/medicaid-coordination/center-program-integrity/reporting-fraud" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/674956">Reporting Fraud</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/medicaid-coordination/plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/178296">Resources for Medicare-Medicaid plans</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/medicaid-coordination/states" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1355341">Resources for state Medicaid agencies</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1313131">Healthcare Fraud Prevention Partnership</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/about-cms/information-systems/clinical-templates" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/189991">Clinical Templates</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Appeals & grievances</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/appeals-grievances/fee-for-service" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171221">Original Medicare appeals</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/appeals-grievances/managed-care" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/169961">Managed Care appeals & grievances</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/appeals-grievances/prescription-drug" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171101">Medicare Prescription drug appeals & grievances</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/appeals-grievances/ombudsman-center" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193386">Ombudsman Center</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/appeals-grievances/appeals-decision-search-part-c-d" class="menu-item-element" aria-current="false" data-drupal-link-system-path="qic-decision-search">Appeals Decision Search (Part C & Part D)</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Quality</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/value-based-programs" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/188566">Value-based programs</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/quality/initiatives/hospital-quality-initiative/person-family-engagement" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/182996">Person & Family Engagement</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/quality-improvement-organizations" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/169871">Quality improvement organizations</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/nursing-home-improvement" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171236">Nursing home quality improvement</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/inpatient-rehabilitation-facility" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175616">Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/home-health" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170541">Home Health Quality Reporting Program</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/end-stage-renal-disease-esrd-quality-incentive-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/176126">ESRD Quality Incentive Program</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/meaningful-measures-initiative/cms-quality-strategy" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/178276">CMS National Quality Strategy</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/hospice" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175556">Hospice Quality Reporting Program</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/long-term-care-hospital" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175511">Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/appropriate-use-criteria-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/180421">Appropriate Use Criteria Program</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/measures" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172001">Quality measures</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/advantage-quality-improvement-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/177561">Medicare Advantage quality improvement program</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/physician-compare-initiative" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175221">Physician compare initiative</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/initiatives" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/169636">Quality initiatives</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/health-drug-plans/part-c-d-performance-data" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171491">Part C and D Performance Data</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/snf-quality-reporting-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/180061"> Skilled Nursing Facility (SNF) Quality Reporting Program (QRP)</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Health & safety standards</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/quality/clinical-laboratory-improvement-amendments" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172651">Clinical Laboratory Improvement Amendments (CLIA)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/health-safety-standards/quality-safety-oversight-group-qsog" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2085911">Quality, Safety & Oversight Group (QSOG)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/health-safety-standards/quality-safety-oversight-general-information" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/169631">Quality, safety & oversight general information</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/health-safety-standards/accreditation-programs" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171481">Accreditation programs</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/health-safety-standards/quality-safety-oversight-emergency-preparedness" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172346">Emergency preparedness</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/health-safety-standards/certification-compliance" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171241">Certification & compliance</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/health-safety-standards/enforcement" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/169811">Enforcement</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/health-safety-standards/guidance-for-laws-regulations" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170071">Regulations, Certification, & Compliance</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/health-safety-standards/conditions-coverage-participation" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172616">Conditions for coverage & participation</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Employers & plan sponsors</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/employers-plan-sponsors/creditable-coverage" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171701">Creditable coverage</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2">
|
||
<span class="menu-item-element" aria-current="false">IC-Placeholder-1</span>
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Audits & Compliance</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/audits-compliance/part-a-cost-report" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/185256">Part A cost report audit</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/audits-compliance/part-c-d" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175921">Part C/Part D compliance & audits</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Forms & notices</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/forms-notices/cms-forms" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170166">CMS forms</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/forms-notices/cms-forms-list" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/174306">CMS forms list</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/forms-notices/beneficiary-notices-initiative" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170686">Beneficiary Notices Initiative (BNI)</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Health & drug plans</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/health-drug-plans/plan-payment" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171981">Plan payment</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/health-drug-plans/plan-payment-data" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175081">Plan payment data</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/health-drug-plans/medical-loss-ratio" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/180161">Medical loss ratio</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/health-drug-plans/coverage-gap-discount-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175906">Coverage Gap Discount Program</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/health-drug-plans/managed-care-marketing" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170611">Managed care marketing</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/health-drug-plans/medicare-advantage-application" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170651">Medicare Advantage application</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/health-drug-plans/medigap" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170466">Medigap (Medicare supplement health insurance)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/health-drug-plans/medical-savings-account" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172066">Medical Savings Account (MSA)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/health-drug-plans/private-fee-for-service-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170301">Private Fee-for-Service Plans</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/enrollment-renewal/health-plans/prepayment" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170521">Health Care Prepayment Plans (HCPPs)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/enrollment-renewal/health-plans/cost" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170656">Cost plans</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/enrollment-renewal/special-needs-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171676">Special needs plans</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/health-drug-plans/network-adequacy" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171301">Network adequacy</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Coordination of benefits & recovery</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/overview" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/177001">Overview</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/mandatory-insurer-reporting-group-health-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/176856">Mandatory Insurer Reporting for Group Health Plans (GHP)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/mandatory-insurer-reporting" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/176951">Mandatory insurer reporting (NGHP)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/workers-comp-set-aside-arrangements" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/176641">Workers' comp Medicare set aside arrangements</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/attorney-services" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/177026">Attorney services</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/beneficiary-services" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/177036">Beneficiary services</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/coba-trading-partners" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/176761">COBA Trading Partners</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/employer-services" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170361">Employer services</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/insurer-services" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170846">Insurer services</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/prescription-drug-assistance-programs" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/176791">Prescription drug assistance programs</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicare/coordination-benefits-recovery/provider-services" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170406">Provider services</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Settlements</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/settlements/jimmo" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193381">Jimmo Settlement</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/settlements/ryan" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193486">Ryan Settlement</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l1 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Medicaid/CHIP</span>
|
||
<div class="subnav-wrapper--1 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-main ds-u-lg-display--none">Back to main menu</span>
|
||
<h2 class="subnav-title-h2" style="position:relative;text-align:left;width:auto;height:auto;">section title h2</h2>
|
||
</div>
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">What is Medicaid?</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://www.medicaid.gov" class="menu-item-element" aria-current="false">Visit Medicaid.gov</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://www.medicaid.gov/about-us/beneficiary-resources/index.html#statemenu" class="menu-item-element" aria-current="false">View Medicaid maps</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="http://www.medicaid.gov/chip/index.html" class="menu-item-element" aria-current="false">Visit CHIP.gov</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Medicare-Medicaid Coordination</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicaid-chip/medicare-coordination/integrated-care-resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/174926">Integrated care resources</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medicaid-chip/medicare-coordination/avoidable-hospitalizations" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/181236">Initiative to reduce avoidable hospitalizations</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicaid-chip/medicare-coordination/financial-alignment" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/178246">Financial alignment initiative</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/medicaid-chip/medicare-coordination/integrity-institute" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1315141">Medicaid Integrity Institute</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2">
|
||
<span class="menu-item-element" aria-current="false">RG-Placeholder-1</span>
|
||
</li>
|
||
<li class="menu-item menu-item--l2">
|
||
<span class="menu-item-element" aria-current="false">IC-Placeholder-2</span>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l1 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Marketplace & Private Insurance</span>
|
||
<div class="subnav-wrapper--1 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-main ds-u-lg-display--none">Back to main menu</span>
|
||
<h2 class="subnav-title-h2" style="position:relative;text-align:left;width:auto;height:auto;">section title h2</h2>
|
||
</div>
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">About the Marketplace</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/about/oversight" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191061">Marketplace oversight</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/about/affordable-care-act" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191416">Affordable Care Act</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/about/overview-exchanges" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/190921">Overview of the exchanges</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/about/exchange-coverage-maps" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193086">Exchange coverage maps</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/about/medicare" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/179351">Medicare and the Marketplace</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Private Health Insurance</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/patient-bill-of-rights" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192591">Patient’s Bill of Rights</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/medical-loss-ratio" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/190956">Medical loss ratio</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/annual-limits" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191976">Annual limits</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/review-insurance-rates" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192716">Review of insurance rates</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/market-rating-reforms" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191816">Market rating</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/self-funded-non-federal-governmental-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191111">Self-funded, non-federal governmental plans</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/grandfathered-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191456">Grandfathered plans</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/health-reimbursement-arrangements" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193216">Health Reimbursement Arrangements</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/coverage-young-adults" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/190931">Coverage for young adults</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/student-health-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/190946">Student health plans</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/mental-health-parity-addiction-equity" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192601">Mental health parity and addiction equity</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/prevention" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191071">Prevention</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/consumer-protections-enforcement" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192701">Consumer protections & enforcement</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/private-health-insurance/pre-existing-condition-plan" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191056">Pre-existing condition insurance plan</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://www.healthcare.gov/glossary/qualifying-health-coverage" class="menu-item-element" aria-current="false">Qualifying Health Coverage (QHC)</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2">
|
||
<span class="menu-item-element" aria-current="false">RG-Placeholder-2</span>
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">In-person assisters</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/in-person-assisters/information-partners" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2078851">Information for Partners</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/in-person-assisters/outreach-education" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2073436">Assister outreach & education</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/in-person-assisters/applications-forms-notices" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2073441">Applications, forms, & notices</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/in-person-assisters/programs-procedures" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2073446">Assister programs & procedures</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/in-person-assisters/technical-resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2073231">Assister technical resources</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/in-person-assisters/training-webinars" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2073451">Assister training & webinars</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Agents & Brokers</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/agents-brokers/resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192876">Resources for Agent & Brokers</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/agents-brokers/registration-training" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1290426">Registration & training</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/agents-brokers/open-enrollment" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193226">Open enrollment</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/agents-brokers/direct-enrollment-partners" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1550226">Direct enrollment partners</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/agents-brokers/general-resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/185021">General resources</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://www.youtube.com/playlist?list=PLaV7m2-zFKpgUK9AqdbnOdW69-WwodvRj" class="menu-item-element" aria-current="false">Video Learning Center</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://www.agentbrokerfaq.cms.gov/s/" class="menu-item-element" aria-current="false">Agent & Broker FAQ</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/files/document/agent/broker-help-desks.pdf" class="menu-item-element" aria-current="false" data-drupal-link-system-path="media/112386">Marketplace help desk & call centers</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://data.healthcare.gov/ffm_ab_registration_lists" class="menu-item-element" aria-current="false">Registration Completion List</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://data.healthcare.gov/ab-registration-tracker/" class="menu-item-element" aria-current="false">Marketplace Registration Tracker</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://data.healthcare.gov/ab-suspension-and-termination-list" class="menu-item-element" aria-current="false">AB Suspension & Termination List</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://localhelp.healthcare.gov/" class="menu-item-element" aria-current="false">Find local help</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://data.healthcare.gov/issuer-partner-lookup" class="menu-item-element" aria-current="false">Issuer and direct enrollment partner directory</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/agents-brokers/help-on-demand" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193196">Help on demand</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/agents-brokers/shop-resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193096">SHOP Resources</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Health Plans & Issuers</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/health-plans-issuers/qualified-health-plan-certification" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191371">Qualified health plan certification </a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/health-plans-issuers/summary-benefits-coverage" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191461">Summary of benefits & coverage</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/health-plans-issuers/insurance-programs" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192101">Insurance programs</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/health-plans-issuers/premium-stabilization-programs" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191326">Premium stabilization programs</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/health-plans-issuers/insurance-market-reforms" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191421">Health insurance market reforms</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/health-plans-issuers/minimum-essential-coverage" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192891">Minimum essential coverage</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace-private-insurance/health-plans-issuers/pbm-drug-pricing-review" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2088761">Drug pricing & rebate review</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Employers & sponsors</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://www.healthcare.gov/small-businesses/other-coverage" class="menu-item-element" aria-current="false">Coverage</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://www.healthcare.gov/small-businesses/choose-and-enroll/shop-marketplace-overview" class="menu-item-element" aria-current="false">Regulation & guidance</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://www.healthcare.gov/small-businesses/choose-and-enroll/qualify-for-shop-marketplace" class="menu-item-element" aria-current="false">Small business tax credit & premium assistance</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://www.healthcare.gov/small-businesses/choose-and-enroll/appeal-a-shop-decision" class="menu-item-element" aria-current="false">Appeals</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/employers-sponsors/small-business-health-options-program-shop" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192901">Small Business Health Options Program (SHOP)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/employers-sponsors/early-retiree-reinsurance-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191651">Early retiree reinsurance program</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/employer-initiatives" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192916">Employer initiatives</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">States</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/states/state-marketplace-resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/190916">Planning & establishing a Marketplace</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/states/territory-cooperative-agreements" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/190926">Territory cooperative agreements</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/states/early-innovator-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191691">Early innovator program</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/states/state-flexibility-stabilize-market" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193246">State flexibility to stabilize the Market </a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/states/creating-competitive-marketplace" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192231">Exchange establishment grants</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://www.healthcare.gov/coverage/pre-existing-conditions" class="menu-item-element" aria-current="false">Pre-existing condition insurance plan</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Resources</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/resources/about-us" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192721">About Us</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/marketplace/resources/data" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191741">Data resources</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/resources/letters" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191646">Letters</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/resources/regulations-guidance" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191366">Regulations & Guidance</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/resources/training" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191466">Training resources</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace-private-insurance/resources/marketplace-coverage-transitions" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2100621">Marketplace Coverage Transitions</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l1 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Initiatives</span>
|
||
<div class="subnav-wrapper--1 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-main ds-u-lg-display--none">Back to main menu</span>
|
||
<h2 class="subnav-title-h2" style="position:relative;text-align:left;width:auto;height:auto;">section title h2</h2>
|
||
</div>
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Burden Reduction</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/key-initiatives/burden-reduction" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2085596">Overview</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">E-health</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/key-initiatives/e-health" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171276">Overview</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Flu</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/priorities/key-initiativess/flu" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1399001">Overview</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Health Equity</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/health-equity/c2c" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1974361">Coverage to Care</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/health-equity/minority-health" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1620916">Minority health</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/health-equity/c2c/es" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2072591">Cobertura de atención</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/health-equity/grants-awards" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1612961">Grants & awards</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Healthplan price transparency</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/priorities/key-initiatives/healthplan-price-transparency" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1567426">Overview</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Hospital price transparency</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/priorities/key-initiatives/hospital-price-transparency" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1417856">Overview</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Innovation Center</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
||
<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/priorities/innovation/overview" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2090631">Overview</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/innovation/about" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2074091">About</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/innovation/key-concepts" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2072461">Key Concepts</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/priorities/innovation-center/model-data" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2087691">Model Data</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/innovation-center/value-based-care-spotlight" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2082926">Value-Based Care Spotlight</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/innovation/models" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2072436">Innovation Models</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/priorities/innovation/where-innovation-happening" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2072451">Where Innovation is Happening</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/priorities/innovation/evaluation-research-reports" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2072446">Evaluations & Research Reports</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Lookup tools</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
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<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
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|
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<li class="menu-item menu-item--l3">
|
||
<a href="/medicare/quality/value-based-programs/quality-payment-program/lookup-tools" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/189536">Overview</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
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</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Marketplace Open Enrollment</span>
|
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<div class="subnav-wrapper--2 ds-u-display--none">
|
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<div class="subnav-header">
|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
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<div class="menu-wrapper">
|
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<ul class="menu">
|
||
|
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|
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<li class="menu-item menu-item--l3">
|
||
<a href="https://www.healthcare.gov/quick-guide/dates-and-deadlines" class="menu-item-element" aria-current="false">Overview</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Maternal Health</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
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<div class="subnav-header">
|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
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<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
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<li class="menu-item menu-item--l3">
|
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<a href="/maternal-health" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2089266">Overview</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
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<span class="menu-item-element" aria-current="false">Medicare OE partner resources</span>
|
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<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
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<div class="menu-wrapper">
|
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<ul class="menu">
|
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|
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<li class="menu-item menu-item--l3">
|
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<a href="/outreach-and-education/reach-out/find-tools-to-help-you-help-others/open-enrollment-outreach-and-media-materials" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/180386">Overview</a>
|
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</li>
|
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</ul>
|
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</div>
|
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</div>
|
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|
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</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
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<span class="menu-item-element" aria-current="false">Medicare Open Enrollment</span>
|
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<div class="subnav-wrapper--2 ds-u-display--none">
|
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<div class="subnav-header">
|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
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<div class="menu-wrapper">
|
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<ul class="menu">
|
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|
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|
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<li class="menu-item menu-item--l3">
|
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<a href="/priorities/key-initiatives/medicare-open-enrollment-partner-resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/180361">Overview</a>
|
||
</li>
|
||
</ul>
|
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</div>
|
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</div>
|
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|
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</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
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<span class="menu-item-element" aria-current="false">Nursing Home Careers</span>
|
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<div class="subnav-wrapper--2 ds-u-display--none">
|
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<div class="subnav-header">
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
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<div class="menu-wrapper">
|
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<ul class="menu">
|
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|
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|
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<li class="menu-item menu-item--l3 menu-item--collapsed">
|
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<a href="/priorities/key-initiatives/nursing-home-careers" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2089791">Overview</a>
|
||
</li>
|
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</ul>
|
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</div>
|
||
</div>
|
||
|
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</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
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<span title="Open Payments landing page" class="menu-item-element" aria-current="false">Open Payments</span>
|
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<div class="subnav-wrapper--2 ds-u-display--none">
|
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<div class="subnav-header">
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
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<div class="menu-wrapper">
|
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<ul class="menu">
|
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|
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|
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<li class="menu-item menu-item--l3 menu-item--collapsed">
|
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<a href="/priorities/key-initiatives/open-payments" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/188426">Overview</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Opioids</span>
|
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<div class="subnav-wrapper--2 ds-u-display--none">
|
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<div class="subnav-header">
|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
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<div class="menu-wrapper">
|
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<ul class="menu">
|
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|
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|
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<li class="menu-item menu-item--l3">
|
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<a href="/priorities/key-initiatives/opioids" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1620416">Overview</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Your Patient Rights</span>
|
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<div class="subnav-wrapper--2 ds-u-display--none">
|
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<div class="subnav-header">
|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
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<div class="menu-wrapper">
|
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<ul class="menu">
|
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|
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|
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<li class="menu-item menu-item--l3 menu-item--collapsed">
|
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<a href="/priorities/your-patient-rights/emergency-room-rights" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2083831">Emergency Room Rights</a>
|
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</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/medical-bill-rights" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1912576">Medical bill rights</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l1 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Training & Education</span>
|
||
<div class="subnav-wrapper--1 ds-u-display--none">
|
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<div class="subnav-header">
|
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<span class="back-to-main ds-u-lg-display--none">Back to main menu</span>
|
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<h2 class="subnav-title-h2" style="position:relative;text-align:left;width:auto;height:auto;">section title h2</h2>
|
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</div>
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">CMS National Training Program</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
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|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://cmsnationaltrainingprogram.cms.gov/resources" class="menu-item-element" aria-current="false">National Training Program resources</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="https://cmsnationaltrainingprogram.cms.gov/?q=global-search&combine=classroom%20modules" class="menu-item-element" aria-current="false">Class modules</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
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<span class="menu-item-element" aria-current="false">Partner outreach resources</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/training-education/partner-outreach-resources/partner-with-cms" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172236">Partner with CMS</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/partner-outreach-resources/national-medicare-education-program-nmep" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/180046">National Medicare Education Program (NMEP)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/training-education/partner-outreach-resources/low-income-subsidy-lis" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171051">Low-Income Subsidy (LIS) outreach</a>
|
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</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/marketplace/assisters-navigators/enrollment/champion" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2073456">Become a champion for coverage</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/partner-outreach-resources/faith-based" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/182296">Faith-Based Partners</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/partner-outreach-resources/rural-health" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/185591">Rural Health Partners</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/training-education/partner-outreach-resources/american-indian-alaska-native" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172176">American Indian/Alaska Native</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/partner-outreach-resources/center" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193436">Partnering with CMS Center</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">Medicare Learning Network® (MLN)</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/medicare-learning-network/resources-training" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/188581">Resources & training</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/medicare-learning-network/newsletter" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/181061">Newsletter</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/training-education/medicare-learning-network/compliance" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/181006">Compliance</a>
|
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</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/medicare-learning-network/partnerships" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/177061">Partnerships</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
||
<span class="menu-item-element" aria-current="false">CMS Open Door Forums</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
||
<div class="subnav-header">
|
||
<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
||
</div>
|
||
<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
||
|
||
<li class="menu-item menu-item--l3 menu-item--collapsed">
|
||
<a href="/training-education/open-door-forums/about" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172171">About Open Door Forums</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/open-door-forums/ambulance" title="The Ambulance Open Door Forum (ODF) addresses issues related to the payment, billing, coverage and delivery of services in the ambulance industry." class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172296">Ambulance</a>
|
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</li>
|
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<li class="menu-item menu-item--l3 menu-item--collapsed">
|
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<a href="/esrd" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172241">End-Stage Renal Disease (ESRD) Dialysis Facility Care Compare</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/open-door-forums/home-health-hospice-durable-medical-equipment-dme" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/173651">Home Health, Hospice & Durable Medical Equipment (DME)</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/open-door-forums/hospitals" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172276">Hospital</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/open-door-forums/long-term-services-supports" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172251">Long-Term Services & Supports</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/open-door-forums/physicians-nurses-allied-health-professionals" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172306">Physicians, Nurses and Allied Health Professionals</a>
|
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</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/open-door-forums/rural-health" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172291">Rural Health</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/open-door-forums/skilled-nursing-facilities-snf" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172316">Skilled Nursing Facilities (SNFs)/Long-Term Care</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/open-door-forums/special" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/174026">Special Open Door forums</a>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
|
||
</li>
|
||
<li class="menu-item menu-item--l2 menu-item--expanded">
|
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<span class="menu-item-element" aria-current="false">Look up topics</span>
|
||
<div class="subnav-wrapper--2 ds-u-display--none">
|
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<div class="subnav-header">
|
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<span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span>
|
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<h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3>
|
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</div>
|
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<div class="menu-wrapper">
|
||
<ul class="menu">
|
||
|
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|
||
<li class="menu-item menu-item--l3">
|
||
<a href="/training-education/partner-outreach-resources/medicare" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/178086">Medicare</a>
|
||
</li>
|
||
<li class="menu-item menu-item--l3">
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<div class="field field--name-body field--type-text-with-summary field--label-hidden field__item"><div class="rxbodyfield"><p><strong>Medicare Advantage Prescription Drug (MAPD) Help Desk</strong> offers technical and functional support for the Medicare Advantage Health and Prescription Drug Coverage (Parts C and D) Programs. This insurance coverage is provided by:</p><ul><li>Medicare Advantage (MA) Plans.</li><li>Medicare Advantage Prescription Drug (MAPD) Plans.</li><li>Medicare Prescription Drug Plans (PDPs)</li><li>Third parties conducting data exchanges with CMS on behalf of MA/MAPD/PDPs.</li></ul><p><strong>Technical Support for Plan Connectivity and Access:</strong></p><ul><li>Startup, testing and implementation for connectivity to CMS systems.</li><li>Ongoing operational support for data exchanges and system problems.</li><li><strong>IDM</strong> - Identity Management for CMS system access and password reset inquires and issues.</li></ul><p><strong>MAPD Functional Support for Inquires and Issues:</strong></p><ul><li>Coordination with CMS for beneficiary enrollment, disenrollment, payment and premium topics.</li><li><strong>MARx UI</strong> - Medicare Advantage Prescription Drug User Interface.</li><li><strong>eRPT</strong> - Electronic Retroactive Processing transmission.</li><li><strong>ELMO</strong> - Eligibility Enrollment Medicare Online.</li><li><strong>COB</strong> - Coordination of Benefits files.</li><li><strong>PRIS Plan Portal</strong> - Payment Recovery Information System Medicare Parts C & D Plan Portal.</li></ul><p>For helpful information about the following topics, please click the link:</p><ul><li><a href="/files/document/ridp-tips-success.pdf">Remote Identity Proofing (RIDP) (PDF)</a></li><li><a href="/research-statistics-data-and-systems/cms-information-technology/mapdhelpdesk/downloads/common-marx-ui-login-errors.pdf" data-entity-type="media" data-entity-uuid="8449c51b-fc72-42fa-848b-65d1cefa92f6" data-entity-substitution="canonical" title="Common MARx UI Login Errors">Common MARx UI Login Errors (PDF)</a></li><li><a href="/files/document/registering-mfa-devices-quick-reference-guide-qrg.pdf" data-entity-type="media" data-entity-uuid="339415e5-89bb-43e5-9bce-6ce4d15f2fc2" data-entity-substitution="canonical" title="Registering MFA Devices Quick Reference Guide (QRG) ">Registering MFA Devices Quick Reference Guide (QRG) (PDF)</a></li></ul><p><span><strong>Important Notice: MAPD Help Desk Information Request Documents</strong></span></p><ul><li><p><span>Please use the “MAPD Help Desk Information Request Form” when requesting information from the MAPD Help Desk. When supplying beneficiary information such as an SSN (Social Security Number) or an MBI (Medicare Beneficiary Identifier), the “SSN- MBI Spreadsheet” is required for any enrollment, entitlement, payment, or premium issues, and the “End Stage Renal Disease (ESRD) SSN- MBI template” is required for any ESRD status update requests. Having the information in these documents will help facilitate accurate and timely processing of your request. </span></p><p><span><strong>Please Note:</strong> If you are emailing in the spreadsheets, they are to be </span><a href="/files/document/how-password-protect-or-encrypt-document-guide.pdf" target="_blank" title="/files/document/how-password-protect-or-encrypt-document-guide.pdf"><span>password protected</span> (PDF)</a><span> to ensure they are following the CMS Security Policy for PHI/PII.</span></p><p><span>All documents are provided in the Downloads section in the ZIP file entitled “MAPD Help Desk Information Request Documents”.</span></p></li></ul><h2>Bulletin Board of Current Plan Communications</h2><ul><li><span><strong>December 23, 2024 - </strong></span><strong>December Plan Communications User Guide updated v18.2 Now Available</strong></li></ul><p><span>The Centers for Medicare & Medicaid Services posted an updated version of the v18.2 Plan Communications User Guide (PCUG) to the MAPD Help Desk website. This update includes minor updates related to the L, P, and Q Election Code Types. Please see the Change Log at the beginning of the Guide for a detailed list of the updates and reference the </span><a href="https://nam10.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.cms.gov%2Fdata-research%2Fcms-information-technology%2Faccess-cms-data-application%2Fmapd-plan-communication-user-guide&data=05%7C02%7Csarah.edgington%40softrams.com%7C68d9b6759a39487f212808dd0d771f4c%7Cfc8563480cd540268d6f202d13194591%7C0%7C0%7C638681527501196975%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=knuHgKSyxmm5%2FmNIiJbR1AqsyL3QFL930vnJBG0nuq0%3D&reserved=0" title="Original URL: https://www.cms.gov/data-research/cms-information-technology/access-cms-data-application/mapd-plan-communication-user-guide. Click or tap if you trust this link.">MAPD Plan Communications User Guide page</a><span> for the updated PCUG.</span></p><ul><li><span><strong>December 23, 2024 - </strong></span><strong>MAPD Help Desk Closed on Christmas Day and New Years Day</strong></li></ul><p><span>Please be advised that the MAPD Help Desk will be observing the following holiday hours:</span></p><ul><li><span>Tuesday, December 24 - Reduced Hours 7:00 a.m. - 3:00 p.m. ET</span></li><li><span>Wednesday, December 25- Closed for </span><span class="marky1fgp9byj">Christmas</span><span> Day</span></li><li><span>Tuesday, December 31 - Reduced Hours 7:00 a.m. - 3:00 p.m. ET</span></li><li><span>Wednesday, January 1, 2025- Closed for New Years Day</span></li><li><span><strong>November 27, 2024 - </strong></span><strong>November Plan Communications User Guide v18.2 Now Available</strong></li></ul><p><span>The Centers for Medicare & Medicaid Services has posted a new version (18.2) of the Plan Communications User Guide (PCUG) to the MAPD Help Desk website. Revisions to the Guide include Manufacturer Discount Program, Part D Factor Types, P & Q Election Codes, and COB-OHI updates. Please see the Change Log at the beginning of the Guide for a detailed list of the updates and reference the </span><a href="https://nam10.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.cms.gov%2Fdata-research%2Fcms-information-technology%2Faccess-cms-data-application%2Fmapd-plan-communication-user-guide&data=05%7C02%7Csarah.edgington%40softrams.com%7C68d9b6759a39487f212808dd0d771f4c%7Cfc8563480cd540268d6f202d13194591%7C0%7C0%7C638681527501196975%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=knuHgKSyxmm5%2FmNIiJbR1AqsyL3QFL930vnJBG0nuq0%3D&reserved=0" title="Original URL: https://www.cms.gov/data-research/cms-information-technology/access-cms-data-application/mapd-plan-communication-user-guide. Click or tap if you trust this link.">MAPD Plan Communications User Guide page</a><span> for the new PCUG.</span></p><ul><li><span><strong>November 26, 2024 - MAPD Help Desk Closed on Thanksgiving Day, Thursday, November 28, 2024</strong></span></li></ul><p><span>Please be advised that the MAPD Help Desk will be closed on Thursday, November 28, 2024, due to the Thanksgiving holiday. The MAPD Help Desk will be open from 7:00 a.m. until 3:00 p.m. (ET) the following day on Friday, November 29, 2024. The MAPD Help Desk will resume operating under its usual hours of 7:00 a.m. through 7:30 p.m. (ET) on Monday, December 2, 2024. </span></p><ul><li><strong>October 15, 2024 - October Plan Communications User Guide v18.1 Now Available</strong></li></ul><p><span>The Centers for Medicare & Medicaid Services has posted a new version (18.0) of the Plan Communications User Guide (PCUG) to the MAPD Help Desk website. Revisions to the Guide include the Medicare Prescription Payment Plan updates. Please see the Change Log at the beginning of the Guide for a detailed list of the updates and reference the </span><a href="/data-research/cms-information-technology/access-cms-data-application/mapd-plan-communication-user-guide" title="Original URL: https://www.cms.gov/data-research/cms-information-technology/access-cms-data-application/mapd-plan-communication-user-guide. Click or tap if you trust this link."><span>MAPD Plan Communications User Guide page</span></a><span> for the new PCUG.</span></p><ul><li><span><strong>August 30, 2024 – August Plan Communications User Guide v18.0 Now Available</strong></span></li></ul><p><span>The Centers for Medicare & Medicaid Services has posted a new version (18.0) of the Plan Communications User Guide (PCUG) to the MAPD Help Desk website. Revisions to the Guide include updating Eligibility and Enrollment Transaction Reply Code 154 in Section 3.8 to include Transaction Code 76, moving former Section 3.4.5 Transaction Reply Code Types to Section 3.8, and updating the name of Layout 7-9 to Part C RA Model Output Detail Record Type M (PY2024 through PY2025). Please see the Change Log at the beginning of the Guide for a detailed list of the updates and reference the </span><a href="/data-research/cms-information-technology/access-cms-data-application/mapd-plan-communication-user-guide" title="Original URL: https://www.cms.gov/data-research/cms-information-technology/access-cms-data-application/mapd-plan-communication-user-guide. Click or tap if you trust this link."><span>MAPD Plan Communications User Guide page</span></a><span> for the new PCUG.</span></p><ul><li><span><strong>June 28, 2024 – June Plan Communications User Guide v17.9 Now Available</strong></span></li></ul><p><span>The Centers for Medicare & Medicaid Services has posted a new version (17.9) of the Plan Communications User Guide (PCUG) to the MAPD Help Desk website. Revisions to the Guide include adding new record type ‘7’ (2025 Rx_18_19) in section 7.3 under Part D RA Model Output Detail/Beneficiary Record 7 (PY2025). Please see the Change Log at the beginning of the Guide for a detailed list of the updates and reference the </span><a href="https://nam02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.cms.gov%2Fdata-research%2Fcms-information-technology%2Faccess-cms-data-application%2Fmapd-plan-communication-user-guide&data=05%7C02%7CKimberly.Sullivan%40newwave.io%7C5a29ca1404eb439b720808dc691f5c41%7Ce23fb87b9a87474d9d8191d0af53601d%7C0%7C0%7C638500830694755615%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C0%7C%7C%7C&sdata=LxTXZG83bBK0tQehQcr0SoaniifRiRm5FwaxlBXsRHk%3D&reserved=0" title="Original URL: https://www.cms.gov/data-research/cms-information-technology/access-cms-data-application/mapd-plan-communication-user-guide. Click or tap if you trust this link."><span>MAPD Plan Communications User Guide page</span></a><span> for the new PCUG.</span><br> </p><ul><li><span lang="EN"><strong>June 10, 2024 – Year 2025 MARx Plan Monthly Calendar Now Available</strong></span></li></ul><p class="wordsection1"><span lang="EN">The MARx Plan Monthly Calendar has been updated to reflect 2025 Plan data due dates, report release dates, enrollment certification due dates, and file transmissions. The 2025 MARx calendar is available for Plans to review via the </span><a href="https://nam02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.cms.gov%2FResearch-Statistics-Data-and-Systems%2FCMS-Information-Technology%2Fmapdhelpdesk%2FMAPD-MARx-Calendars-and-Schedules&data=05%7C01%7Cwendy.davis%40newwave.io%7C8fda40bb7d8a478e5e5d08da8c5b452b%7Ce23fb87b9a87474d9d8191d0af53601d%7C0%7C1%7C637976620916331502%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=R%2BrYHW66ioNJDLzm6Qgpy9ReJOYCb7Q5mm3Sr10lFz8%3D&reserved=0" target="_blank" title="MAPD/MARx Calendars and Schedules"><span lang="EN">MAPD/MARx Calendars and Schedules</span></a><span lang="EN"> link.</span></p><p class="wordsection1"><span>At the end of each year, the MAPD Help Desk issues the MARx Monthly Calendar for the coming year. The calendar is available in the Downloads section in both a color and plain text format and identifies the following dates:</span></p><ul><li><span>CMS Holidays</span></li><li><span>MARx Monthly Reports Available</span></li><li><span>Plan Submission Cut-Off</span></li><li><span>Payment due to Plan</span></li><li><span>Annual Election Period Begin and End dates</span></li><li><span>MA Full-Dual Notification File (transmitted only to MA Organizations and Cost Plans)</span></li><li><span>Biweekly LIS Report</span></li><li><span>NoRx File</span><br> </li><li><span><strong>May 31, 2024 – May Plan Communications User Guide v17.8 Now Available</strong></span></li></ul><p><span>The Centers for Medicare & Medicaid Services has posted a new version (17.8) of the Plan Communications User Guide (PCUG) to the MAPD Help Desk website. Revisions to the Guide include adding new value into description in Special Election Period (SEP) Status column and SEP Status field (L-Postal Service Reform Act (PSRA) SEP in section 8.3; updating Transaction Code (TC) 61 Enrollment Effective Dates with clarification note on simultaneous enrollment in section 3.2.6; changes to Risk Adjustment Suite of Systems (RASS) Model Output Report file naming conventions in section 7.10; and updated title and definition for the Transaction Reply Code (TRC) 403 in section 3 Eligibility and Enrollment. Please see the Change Log at the beginning of the Guide for a detailed list of the updates and reference the </span><a class="ck-anchor x_OWAAutoLink" href="https://nam02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.cms.gov%2Fdata-research%2Fcms-information-technology%2Faccess-cms-data-application%2Fmapd-plan-communication-user-guide&data=05%7C02%7CKimberly.Sullivan%40newwave.io%7C5a29ca1404eb439b720808dc691f5c41%7Ce23fb87b9a87474d9d8191d0af53601d%7C0%7C0%7C638500830694755615%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C0%7C%7C%7C&sdata=LxTXZG83bBK0tQehQcr0SoaniifRiRm5FwaxlBXsRHk%3D&reserved=0" title="Original URL: https://www.cms.gov/data-research/cms-information-technology/access-cms-data-application/mapd-plan-communication-user-guide. Click or tap if you trust this link."><span><u>MAPD Plan Communications User Guide page</u></span></a><span> for the new PCUG.</span></p><ul><li><span><strong>April 30, 2024 – February Plan Communications User Guide v17.7 Now Available</strong></span></li></ul><p><span>The Centers for Medicare & Medicaid Services has posted a new version (17.7) of the Plan Communications User Guide (PCUG) to the MAPD Help Desk website. Revisions to the Guide include updating Transaction Reply Code (TRC) 131 to include transaction code 54 in section 3.8 Eligibility and Enrollment. Please see the Change Log at the beginning of the Guide for a detailed list of the updates and reference the </span><a href="/data-research/cms-information-technology/access-cms-data-application/mapd-plan-communication-user-guide"><span lang="EN">MAPD Plan Communications User Guide</span><span> page</span></a><span> for the new PCUG.</span></p><ul><li><span><strong>February 29, 2024 – February State User Guide v12.0 Now Available</strong></span></li></ul><p><span>The Centers for Medicare & Medicaid Services has posted a new version (12.0) of the MAPD State User Guide to the MAPD Help Desk website. The guide contains a new SEP Status column to the Entitlement Information section and new Table 3-8: SEP Status Codes. Also, 2024 IRA LIS changes were made to the MMA Response File Detail Layout. Please reference the MAPD State User Guide (SUG) page for the new Guide: </span><a href="/data-research/cms-information-technology/access-cms-data-application/mapd-state-user-guide">MAPD State User Guide (SUG) | CMS</a></p><ul><li><span><strong>February 29, 2024 – February Plan Communications User Guide v17.6 Now Available</strong></span></li></ul><p><span>The Centers for Medicare & Medicaid Services has posted a new version (17.6) of the Plan Communications User Guide (PCUG) to the MAPD Help Desk website. Updates to the Guide include revisions to item 19 in the MARx Batch Input Detail - Disenrollment Transaction - TC 51 or 54 layout and item 26 in the MARx Batch Input Detail - Enrollment Transaction - TC 61 layout and the Daily Transaction Reply Report (DTRR) to include availability. Changed TRC-Type 404R to reflect 402A in the Eligibility and Enrollment TRC Grouping and added new TRC 406 PLAN/SCC SERVICE AREA REDUCTION. Updated Figure 8-22 Beneficiary: Eligibility (M232) Screen (with Eligibility Information) screenshot and changed Exception Condition to SEP Status column and description in Table 8-9: Beneficiary: Eligibility (M232) Field Description table. Also, added new section 8.3.16 Status Detail (M257), Figure 8-44: Status Detail Part A (M257) Screen, Figure 8-45: Status Detail Part A (M257) Screen and Table 8-25: Status Detail Part A and B (M257) Field Description.</span> <span>Please see the Change Log at the beginning of the Guide for a detailed list of the updates and reference the </span><a href="https://nam02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.cms.gov%2FResearch-Statistics-Data-and-Systems%2FCMS-Information-Technology%2Fmapdhelpdesk%2FPlan_Communications_User_Guide&data=05%7C01%7Cwendy.davis%40newwave.io%7C31e8cdf8a7c841a86a0608dad22b9863%7Ce23fb87b9a87474d9d8191d0af53601d%7C0%7C0%7C638053381943847997%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=kdvQd9LyiSZEXFfSBHuStsc7FEjyX10qIduQijYK%2BJI%3D&reserved=0"><span lang="EN">MAPD Plan Communications User Guide</span><span> page</span></a><span> for the new PCUG.</span></p><ul><li><span><strong>January 31, 2024 – January 31, 2024 Plan Communications User Guide v17.5 Now Available</strong></span></li></ul><p class="MsoListParagraph"><span>The Centers for Medicare & Medicaid Services has posted a new version (17.5) of the Plan Communications User Guide (PCUG) to the MAPD Help Desk website. Updates to the Guide include revisions to SEP Reason Code 94 in the Election Type “S – Special Election Period (SEP)” Reason Code Table, an updated screenshot of Figure 8-22: Beneficiary: Eligibility (M232) Screen (with Eligibility Information), updates to the Entitlement Status column description and the addition of “Exceptional Condition SEP column” under Entitlement Information in the Beneficiary: Eligibility (M232) Field Description table.</span> <span>Please see the Change Log at the beginning of the Guide for a detailed list of the updates and reference the </span><a href="https://nam02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.cms.gov%2FResearch-Statistics-Data-and-Systems%2FCMS-Information-Technology%2Fmapdhelpdesk%2FPlan_Communications_User_Guide&data=05%7C02%7Ckimberly.sullivan%40newwave.io%7C96e1220477974b4275f508dc228da064%7Ce23fb87b9a87474d9d8191d0af53601d%7C0%7C0%7C638423238883627125%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C0%7C%7C%7C&sdata=95lkEkQSvhcCdCtKiv2m7IMR9C6wJqs8qbjbKJqQEmk%3D&reserved=0"><span lang="EN">MAPD Plan Communications User Guide</span><span> page</span></a><span> for the new PCUG.</span></p><ul><li><span><strong>January 4, 2024 – Updated November 2023 Plan Communications User Guide v17.4 Now Available</strong></span></li></ul><p><span>The Centers for Medicare & Medicaid Services has posted an update to version 17.4 of the Plan Communications User Guide, which is now available on the MAPD Help Desk website. The revised version of the guide has the removal of heading 7.8 – Long Term Institutionalized (LTI) Resident Report File in the Outbound Files and Miscellaneous section. Please see the Change Log at the beginning of the Guide for a detailed list of the updates and reference the </span><a href="https://nam02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.cms.gov%2FResearch-Statistics-Data-and-Systems%2FCMS-Information-Technology%2Fmapdhelpdesk%2FPlan_Communications_User_Guide&data=05%7C02%7Cwendy.davis%40newwave.io%7Cd13c24ada3df45abbd0d08dc0d67a410%7Ce23fb87b9a87474d9d8191d0af53601d%7C0%7C0%7C638399985993068292%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=jr%2BLAaFzzxFhfqc5cIkTMLUONcapB6Q3fakcvJAom2M%3D&reserved=0"><span lang="EN">MAPD Plan Communications User Guide</span><span> page</span></a><span> for the revised PCUG.</span></p><ul><li><strong>December 21, 2023 - </strong><span><strong>MAPD Help Desk Holiday Availability Schedule</strong></span></li></ul><p><span>Please be advised that the MAPD Help Desk’s availability for the upcoming holiday schedule is as follows: </span></p><ul><li><span>In observation of Christmas Eve, the MAPD Help Desk will be open from 8:00 AM - 4:00 PM ET on Friday, December 22.</span></li><li><span>In observation of Christmas Day, the MAPD Help Desk will be closed on Monday, December 25. </span></li><li><span>In observation of New Year’s Eve, the MAPD Help Desk will be open from 8:00 AM - 4:00 PM ET on Friday, December 29. </span></li><li><span>In observation of New Year’s Day, the MAPD Help Desk will be closed on Monday, January 1. </span></li><li><span><strong>November 30, 2023 – November 2023 Plan Communications User Guide v17.4 Now Available</strong></span></li></ul><p class="MsoNormal"><span>The Centers for Medicare & Medicaid Services has posted a new version (17.4) of the Plan Communications User Guide (PCUG) to the MAPD Help Desk website. Updates to the Guide include new Transaction Reply Code (TRC) 403-F and Special Election Period (SEP) reason codes: 42 & 43. Also, SEP reason codes: 23, 34, 95 & 96 were updated and the heading to the Election Type “S – Special Election Period (SEP)” Reason Code Table to</span><em><span><strong> </strong></span></em><span>reflect MA/MA-PD. Please see the Change Log at the beginning of the Guide for a detailed list of the updates and reference the </span><a href="https://nam02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.cms.gov%2FResearch-Statistics-Data-and-Systems%2FCMS-Information-Technology%2Fmapdhelpdesk%2FPlan_Communications_User_Guide&data=05%7C01%7Cwendy.davis%40newwave.io%7C3082b10320044ee37b7308dbda3f1cfe%7Ce23fb87b9a87474d9d8191d0af53601d%7C0%7C0%7C638343736842296042%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=4ZdL31M%2FSZWiRdtZQ1mJX%2BSYUzIs%2F029iFYTrw%2FQuug%3D&reserved=0"><span lang="EN">MAPD Plan Communications User Guide</span><span> page</span></a><span> for the new PCUG.</span></p><ul><li><span><strong>November 20, 2023 - MAPD Help Desk Closed on Thanksgiving Day, Thursday, November 23, 2023</strong></span></li></ul><p class="MsoNormal"><span>Please be advised that the MAPD Help Desk will be closed on Thursday, November 23, 2023 due to the Thanksgiving holiday. The MAPD Help Desk will be open from 8:00 AM until 4:00 PM (ET) the following day on Friday, November 24, 2023. The MAPD Help Desk will resume operating under its usual hours of 8:00 AM through 6:00 PM (ET) on Monday, November 27, 2023. </span></p><ul><li><span><strong>October 31, 2023 – October 2023 Plan Communications User Guide v17.3 Now Available</strong></span></li></ul><p><span>The Centers for Medicare & Medicaid Services has posted a new version (17.3) of the Plan Communications User Guide (PCUG) to the MAPD Help Desk website. Updates to the Guide include the addition of codes 345, 346 & 347 to the Daily Transition Reply Report (DTRR) Detail Record, updated verbiage to codes 289, 345, 346 & 347 in the Eligibility and Enrollment Transaction Reply Codes table and an updated Payment Information form. Please see the Change Log at the beginning of the Guide for a detailed list of the updates and reference the </span><a href="https://nam02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.cms.gov%2FResearch-Statistics-Data-and-Systems%2FCMS-Information-Technology%2Fmapdhelpdesk%2FPlan_Communications_User_Guide&data=05%7C01%7Cwendy.davis%40newwave.io%7C264886ba449448d11e0f08dbda3d7183%7Ce23fb87b9a87474d9d8191d0af53601d%7C0%7C0%7C638343729717845842%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=0aFVg4lBdgNIQJV2cdKXU50W666vzcdVm7bu7CP7Kik%3D&reserved=0"><span lang="EN">MAPD Plan Communications User Guide</span><span> page</span></a><span> for the new PCUG.</span></p><ul><li><span lang="EN"><strong>August 31, 2023 – Year 2024 MARx Plan Monthly Calendar Now Available</strong></span></li></ul><p class="wordsection1"><span lang="EN">The MARx Plan Monthly Calendar has been updated to reflect 2024 Plan data due dates, report release dates, enrollment certification due dates, and file transmissions. The 2024 MARx calendar is available for Plans to review via the </span><a href="https://nam02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.cms.gov%2FResearch-Statistics-Data-and-Systems%2FCMS-Information-Technology%2Fmapdhelpdesk%2FMAPD-MARx-Calendars-and-Schedules&data=05%7C01%7Cwendy.davis%40newwave.io%7C8fda40bb7d8a478e5e5d08da8c5b452b%7Ce23fb87b9a87474d9d8191d0af53601d%7C0%7C1%7C637976620916331502%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=R%2BrYHW66ioNJDLzm6Qgpy9ReJOYCb7Q5mm3Sr10lFz8%3D&reserved=0" target="_blank" title="MAPD/MARx Calendars and Schedules"><span lang="EN">MAPD/MARx Calendars and Schedules</span></a><span lang="EN"> link.</span></p><p class="wordsection1"><span>At the end of each year, the MAPD Help Desk issues the MARx Monthly Calendar for the coming year. The calendar is available in the Downloads section in both a color and plain text format and identifies the following dates:</span></p><ul><li><span>CMS Holidays</span></li><li><span>MARx Monthly Reports Available</span></li><li><span>Plan Submission Cut-Off</span></li><li><span>Payment due to Plan</span></li><li><span>Annual Election Period Begin and End dates</span></li><li><span>Plan Submission Cut-Off</span></li><li><span>Payment due to Plan</span></li><li><span>MA Full-Dual Notification File (transmitted only to MA Organizations and Cost Plans)</span></li><li><span>Biweekly LIS Report</span></li><li><span>NoRx File</span></li></ul><p><strong>Quick Reference Guide (QRG) MAPD Help Desk Common Issues</strong></p><p><span>The MAPD Help Desk receives thousands of inquiries each month and in an effort to better assist our growing user community, we have consolidated information regarding issues we most commonly support. Please refer to the </span><em><span><strong>Quick Reference Guide of MAPD Help Desk Common Issues</strong></span></em><span> in the download section below which provides users with easy access to common issues and solutions in a quick and easy format.</span></p><p><span>Topics covered include:</span></p><ul><li><span>Initial Setup</span></li><li><span>Remote Identity Proofing (RIDP)</span></li><li><span>Account Issues</span><br> </li><li><strong>Important Notice: MAPD Help Desk Information Request Documents</strong></li></ul><p>Please use the MAPD Help Desk Information Request Form, and when applicable the Health Insurance Claim Number (HICN) – Medicare Beneficiary Identifier (MBI) Template, and the End Stage Renal Disease (ESRD) Template when requesting information from the MAPD Help Desk. Use of the form and spreadsheets will help facilitate accurate and timely processing of your request. Please note that if emailing the spreadsheets they are to be password protected to ensure they are following the CMS Security Policy for PHI/PII.</p><p>All documents are provided in the Downloads section in the ZIP file entitled MAPD Help Desk Information Request Documents.</p><h3><span>Regularly Scheduled Maintenance</span></h3><p>As a reminder, the MARx UI may be unavailable due to Regularly Scheduled Maintenance during the following timeframes:</p><p><strong>Daily: 11:00 PM to 12:30 AM ET.</strong></p><p><strong>Weekly: Sunday evening at 6:00 PM to Monday morning at 6:00 AM ET.</strong></p><p>Also, GENTRAN/TIBCO may be unavailable due to Weekly System Backup during the following timeframe:</p><p><strong>Weekly: Sunday Morning at 1:00 AM to approximately 3:00 AM ET.</strong></p><h3>Holiday Hours</h3><p><span>The MAPD Help Desk is closed on New Year’s Day, Memorial Day, Independence Day, Labor Day, Thanksgiving, and Christmas.</span></p><h3><strong>MARx UI Submission Cut Off Dates</strong></h3><p>Please reference the following table for the upcoming 2024 Plan Data Due dates for MARx transaction submissions. Cutoff for the submission of MARx transaction files is 8:00 PM (Eastern Time) on the dates listed below:</p><table><tbody><tr><td><strong>Payment Month</strong></td><td><strong>Plan Data Due Date</strong></td></tr><tr><td>January 2024</td><td>December 2, 2023</td></tr><tr><td>February 2024</td><td>January 5, 2024</td></tr><tr><td><span>March 2024</span></td><td><span>February 2, 2024</span></td></tr><tr><td><span>April 2024</span></td><td><span>March 8, 2024</span></td></tr><tr><td><span>May 2024</span></td><td><span>April 5, 2024</span></td></tr><tr><td><span>June 2024</span></td><td><span>May 10, 2024</span></td></tr><tr><td><span>July 2024</span></td><td><span>June 7, 2024</span></td></tr><tr><td><span>August 2024</span></td><td><span>July 5, 2024</span></td></tr><tr><td><span>September 2024</span></td><td><span>August 9, 2024</span></td></tr><tr><td><span>October 2024</span></td><td><span>September 6, 2024</span></td></tr><tr><td><span>November 2024</span></td><td><span>October 4, 2024</span></td></tr><tr><td><span>December 2024</span></td><td><span>November 8, 2024</span></td></tr><tr><td><span>January 2025</span></td><td><span>December 6, 2024</span></td></tr><tr><td><span>February 2025</span></td><td><span>January 3, 2025</span></td></tr></tbody></table><p class="MsoNormal"> </p><h3>Contacting the MAPD Help Desk</h3><p><strong>Phone:</strong> 1-800-927-8069<br><strong>E-mail:</strong> mapdhelp@cms.hhs.gov<br><strong>Hours of Operation:</strong> Monday-Friday 7:00 AM to 7:30 PM ET.</p></div></div>
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