CMS HPMS Memoranda

This listing reflects selected Centers for Medicare & Medicaid Services issuances from the Health Plan Management System received March 27-28, 2018.

Clarification to Guidance on Medicare-Medicaid Plan (MMP) Application of Deductibles and Cost-Sharing when Reimbursing Non-Contract Providers (March 28, 2018). The purpose of this memorandum is to clarify policy regarding Medicare-Medicaid Plans’ (MMPs’) reimbursement of non-network providers for Medicare-covered services during what would have been a deductible period under fee-for-service Medicare: http://src.bna.com/xu0.

Updates to Part D Coordination of Benefits Processes (March 28, 2018). The purpose of this memo is to inform Medicare Part D sponsors of updates to the ...