This page provides important information on the application process for Medicare prescription drug plans (PDPs, MA-PDs, Cost, EGWP, Direct, and PACE).  Please use the Medicare Advantage link in the "Related Links Inside CMS" area on this page to access the Medicare Advantage application materials.

Single State Licensure Waivers for 2010:

CMS has updated the requirements concerning submission of a State license application for PDP applicants that intend to apply for a Single State Licensure Waiver for 2010.  The guidance sets a November 1, 2008 deadline that will apply to the 2010 CMS licensure waiver application that will be available in January 2009.

Click the selection that best matches your information needs.

Downloads
2010 Application for New Prescription Drug Plan (PDP) [PDF, 738KB] 2010 Application for New Medicare Advantage Prescription Drug Plan (MA-PD) [PDF, 748KB] 2010 Application for PDP and MA-PD Service Area Expansion (SAE) [PDF, 285KB] 2010 Application for New Cost Plan [PDF, 707KB] 2010 Applications for EGWP/Direct Plans [ZIP, 189KB] 2010 Application for New PACE Plan [PDF, 351KB] Beneficiary Count Data [ZIP, 1MB] Resources for ITU and LTC Sections [ZIP, 1.4MB] Single State Licensure Waivers for 2010 – Submission of State Application [PDF, 59KB]
Related Links Inside CMS
Medicare Advantage Application Page
Related Links Outside CMS
There are no Related Links Outside CMS

Page Last Modified: 01/05/2009 4:00:00 PM
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