Drug Coverage Claims Data
Guidance for Part D sponsors related to claims data, payment, and risk adjustment information on the Prescription Drug Plan Claims Data page.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: April 10, 2012
As a condition of payment, all Part D plans must submit data and information necessary for CMS to carry out the payment provisions of the MMA. This section contains content on how CMS will implement the statutory payment mechanisms by collecting a limited subset of data elements on 100 percent of prescription drug "claims" or events.
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