IMPORTANT NOTE:
Your question is important to us and we will do our best to expedite a response. Multiple subject matter experts may be required to review a question to make sure our response is accurate and complete. Please submit questions to this mailbox by May 28, 2024, to allow time to provide a response prior to the bid submission deadline on Monday, June 3, 2024.

GuidanceGuidance

Guidance

CMS guidance documents related to Part C benefits policy.

Questions & Answers

Answers to previously asked questions.

Resources

Resources if your questions do not relate to Part C benefits policy.

Please review the available guidance documents and the resources below that may answer your question.

Contract Year 2025

Final Contract Year (CY) 2025 Standards for Part C Benefits, Bid Review and Evaluation (05/06/2024)

Federal Regulation Contract Year 2025 Medicare Advantage and Part D Final Rule (04/04/2024)

Updates and Timeline for Contract Year 2025 Plan Benefit Package (12/01/2023)

Contract Year 2024 Part C and Part D Baseline Out-of-Pocket Cost Models (12/19/2023)

Contract Year 2024

Final Contract Year (CY) 2024 Standards for Part C Benefits, Bid Review, and Evaluation (04/14/2023)

Total Beneficiary Cost Data for CY 2024 Bid Preparation (04/20/2023)

Update Regarding CY 2024 Part C Bid Review OOPC Model (05/16/2023)

Update Regarding Contract Year 2024 Part C Bid Review Out-of-Pocket Cost Model (07/24/2023)

IRA Part B Rebatable Drugs and Insulin FAQs (07/13/2023)


Recent Regulations


Contract Year 2023


Contract Year 2022


Other Reference Material

Answers to previously asked questions

  • Coming soon

Following are available resources if your questions do not relate to Part C benefits policy:

Questions specifically related to the Medicare FFS Average Sales Price (ASP) files may be directed to: Sec303ASPdata@cms.hhs.gov

If your question is regarding the Inflation Reduction Act, please submit the question to: IRARebateandNegotiation@cms.hhs.gov 

Policy related fiscal soundness questions, please submit an e-mail to: FinancialReview@cms.hhs.gov

Technical questions about the Out-of-Pocket Cost (OOPC) model, please submit an email to: OOPC@cms.hhs.gov

Part D benefits questions, please submit an email to: partdbenefits@cms.hhs.gov

Bid Pricing Tool (BPT) questions, please submit an email to: actuarial-bids@cms.hhs.gov

Medicare Medicaid Program, please submit an email to: mmcocapsmodel@cms.hhs.gov

Part C Medicare Advantage policy questions, please submit an inquiry via: https://dpap.lmi.org/DPAPMailbox/

Medicare Advantage Value-Based Insurance Design (MA-VBID) model questions, please submit an e-mail to: VBID@cms.hhs.gov

Risk adjustment questions can be directed to riskadjustmentoperations@cms.hhs.gov

Appeals Policy questions, please submit inquiry via: https://appeals.lmi.org/

Enrollment and Eligibility Policy questions, please submit inquiry via: https://enrollment.lmi.org

 
Question

Ask a Part C Benefits Question

Please review the available guidance documents and resources described above before submitting a question.