Out-of-Pocket Cost Model for Contract Year 2019 Bid Submissions
Guidance for CMS’s Out-of-Pocket Cost (OOPC) model in SAS software. This model allows Stand-alone Prescription Drug Plans (PDPs), Medicare Advantage Organizations (MAOs), and Section 1876 Cost Plans transitioning to MA for contract year 2019 to calculate OOPC values for each of their plan offerings for the 2019
contract year.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: April 10, 2018
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