HPMS Archives - BluePeak Advisors

CMS HPMS Part D

Annual Transition Policy and Attestation Submission to CMS

The Centers for Medicare and Medicaid Services (CMS) requires, as part of the formulary submission process, each plan sponsor complete the Transition Policy Attestation through the formulary submission module in…

BluePeak AdvisorsFebruary 9, 2022

CMS HPMS MCMG

In Case You Missed It! CMS New Marketing Module Training–Big Changes Coming

On Friday May 28th, at 5pm ET, CMS will provide Plan Sponsors access to the new HPMS marketing module. The new marketing material module has enhanced functionality and will provide…

BluePeak AdvisorsMay 26, 2021

CMS COVID19 HPMS

CMS Releases a Flurry of Interim and Final Rules

CMS released several interim and final rules in the past month. As the new year starts and there is a change in administration, the pace of new guidance releases is…

BluePeak AdvisorsDecember 18, 2020

Audits CMS HPMS Medicaid Medicare

Highlights of Proposed 2020 Audit Protocols

The Centers for Medicare & Medicaid Services (CMS) released an HPMS memo on August 20, 2019 providing an overview of the upcoming changes to program audits through 2021. These changes…

BluePeak AdvisorsSeptember 9, 2019

HPMS Medicare PDBM

Medicare Advantage and Prescription Drug Plan Appeals Guidance– Are You Ready?

Chapter 13 of the Medicare Managed Care Manual (MMCM) and Chapter 18 of the Prescription Drug Benefit Manual (PDBM) have been consolidated into one chapter. CMS announced the release of…

BluePeak AdvisorsJune 12, 2019

CMS HPMS MA

Changes Ahead for Plan Finder

During the CMS Spring Conference on May 1, 2019, CMS reviewed some of the revisions that are being made to Plan Finder. The redesigned Plan Finder will be used this…

BluePeak AdvisorsJune 11, 2019

CMS FDRs HPMS Medicaid Medicare Star Ratings TPMA

Potential Changes on the Horizon for 2020 and Beyond

After getting ready for all the changes a new contract year brings, Medicare Advantage (MA) Plans and Part D sponsors await the issuance of the Draft Call Letter for early…

BluePeak AdvisorsMarch 15, 2019

CMS EOC HPMS Marketing MCMG Medicare

Medicare Communications Marketing Guidelines: A Primary Topic at the CMS Fall Conference

BluePeak Highlights the Changes to MCMG Requirements The Centers for Medicare & Medicaid Services (CMS) 2018 Medicare & Prescription Drug Plan Fall Conference and Webcast kicked off on Thursday, September…

BluePeak AdvisorsSeptember 21, 2018

ANOC/EOC CMS FDA HPMS Medicaid Medicare Part D

Indication-Based Formulary Design in CY2020

Beginning in the 2020 contract year (“CY2020”), the Centers for Medicare & Medicaid Services (“CMS”) will permit Part D sponsors to implement indication-based formulary designs that tailor formulary coverage of…

BluePeak AdvisorsSeptember 4, 2018

CMS HPMS Medicare Uncategorized

Decreased HSD Tables Application Requirement Now Leads to CMS Network Adequacy Review Later

Decreased HSD Tables Application Requirement Now Leads to CMS Network Adequacy Review Later Part C applications may have decreased requirements for the submission of a key management staff organizational chart…

BluePeak AdvisorsNovember 29, 2017