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Out-of-Pocket Cost (OOPC) Model for CY 2015 Bid Submissions

Guidance for the Out-of-Pocket Cost model (OOPC) that is available in SAS software via the CMS website so that Stand-alone Prescription Drug Plans (PDPs) and Medicare Advantage Organizations (MAOs) are able to calculate OOPC values for each of their plan offerings for the 2015 contract year (CY).

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: April 08, 2014

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.