As a condition of payment, all Part D plans must submit data and information necessary for CMS to carry out the payment provisions of the MMA.  This section contains content on how CMS will implement the statutory payment mechanisms by collecting a limited subset of data elements on 100 percent of prescription drug "claims" or events.

Click the section that best matches your information needs.  Please check back, as we will continue to update these resources as necessary.

Downloads
PDE Instructions (v04.26.06) [PDF, 918KB] File Format (v02.08.06) [PDF, 120KB] Plan-to-Plan (P2P) Reconciliation Implementation -Phase III [PDF, 162KB] Plan-to-Plan Reconciliation Instructions (Phase II – Eligibility Edits) [PDF, 128KB] Memo: Plan to Plan Reconciliation (Phase I - Post Enrollment Reconciliation) [PDF, 65KB] Plan to Plan Reconciliation Instructions (Phase I - Post Enrollment Reconciliation) [PDF, 86KB] Table 1: Summary Description of Monthly and YTD Cumulative Reports from DDPS [PDF, 8KB] Figure 1A - Current DDPS Eligibility Logic [PDF, 14KB] Figure 1B - New P2P Eligibility Logic [PDP, 16KB]
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Page Last Modified: 05/05/2008 7:53:10 AM
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