Other Resource

QMB Billing HPMS memo

This Centers for Medicare & Medicaid Services (CMS) Health Plan Management System (HPMS) memorandum reminds Medicare plans of their obligation to educate network providers, suppliers, and pharmacies about, and ensure compliance with, QMB billing rules. It also provides information regarding Centers for Medicare & Medicaid Services (CMS) resources that are available to plans to identify Qualified Medicare Beneficiary (QMB) status.

Key 2023 Medicare Advantage Dates

This calendar of key Medicare Advantage (MA) dates was developed to assist states and health plans in the implementation of integrated care programs for people dually eligible for Medicare and Medicaid. For a complete list of MA and Part D Prescription Drug plan (PDP) dates for calendar year 2023 and early 2024, see: https://hpms.cms.gov/app/ng/home/

Contract Year (CY) 2021 Notices for Applicable Integrated Plans

Please see the attached memorandum entitled "Contract Year (CY) 2021 Notices for Applicable Integrated Plans: “Coverage Decision Letter”, “Letter about Your Right to Make a Fast Complaint” and “Appeal Decision Letter”" from Sharon Donovan, Director, Program Alignment Group, Medicare-Medicaid Coordination Office. The memorandum describes the notices available for D-SNPs that are applicable integrated plans.