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CMS Research, Statistics, Data & Systems- MAPD Help Desk- MAPD State User Guide (SUG)

Guidance for MAPD State User Guide (SUG) (MAPD Help Desk, CMS Research, Statistics, Data & Systems).

Final

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

Issue Date: May 29, 2020

The MAPD State User Guide (SUG) contains information regarding the use of the Medicare Advantage Prescription Drug (MARx) System, an overview of how State Medicaid Agencies will send data to CMS, and descriptions of the specific data files that are exchanged between the States and CMS. The SUG is located in the “Downloads” section below.

Sections from the SUG include:

  • Using MARx User Interface.
  • Technical Instructions for submitting files to CMS.
  • Medicare Modernization Act (MMA) Request and Response file layouts.
  • Beneficiary Eligibility Query (BEQ) Request and Response file layouts.
  • Territory Beneficiary Query (TBQ) Request and Response file layouts.
  • Puerto Rico Dual Eligibles Request and Response file layouts.

HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov.

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.