CMS HPMS MARKETING MODULE – R U READY?

By Shelley Segal, CEO

Submission period for Plans/Part D Sponsors to submit CY 2024 marketing materials in the HPMS Marketing Module began ON June 1, 2023. The annual release of the HPMS Marketing module happened on 5/31/2023 – Are You Ready??

The HPMS memo announced the release of Contract Year (CY) 2024 Model Materials. These include the following:  Annual Notice of Change (ANOC); Evidence of Coverage (EOC); ANOC Errata Notice; EOC Errata Notice; Provider Directory; Part D Explanation of Benefits (EOB); Excluded Provider Model, Formulary (Comprehensive and Abridged); Low Income Subsidy (LIS) Rider; Pharmacy Directory; LIS Premium Summary Table; Prescription Transfer Letter; Notice of Formulary Change; Transition Letter; and (optional) Member Request for Refusal Notice.

The CY2024 Model Materials include a considerable number of edits due to the Inflation Reduction Act, multiple finalized regulations, and the Paperwork Reduction Act (PRA) process. Plans may notice grammar and formatting edits in the models that are not listed below. As a reminder, CMS releases the CY2024 Annual Notice of Change and Evidence of Coverage Standardized Models Instructions along with the other model documents listed above. CMS encourages plans to review and apply the instructions for permissible alterations whenever possible.

Segal Medicare Experts (SME) is here to help!

We can review and submit your marketing materials!