CMS Research, Statistics, Data & Systems- MAPD Help Desk- MAPD Plan Communications User Guide (PCUG)
Guidance for MAPD Plan Communications User Guide (PCUG) (MAPD Help Desk, CMS Research, Statistics, Data & Systems).
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: August 31, 2020
The MAPD Plan Communications User Guide (PCUG) contains information for using the Medicare Advantage Prescription Drug (MARx) System, an overview of how Plans will send data to CMS, and descriptions of the specific data files and reports that are exchanged between the Plans and CMS. The PCUG is available in the Downloads section below.
The PCUG contains the following sections:
• Establish Connectivity
• Eligibility and Enrollment
• Low Income Subsidy (LIS) Status
• Premium
• Payment
• Outbound Files and Miscellaneous
• Medicare Advantage Prescription Drug User Interface – MARx UI
• Glossary and Acronyms
Please note that the Transmissions Inventory is presented in PCUG section 7.11: All Transmissions Overview.
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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.