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Specific Expectations Concerning the Timely Submission of Encounter Data by
Medicare-Medicaid Plans (MMPs) to CMS

Guidance for: This memo clarifies that the MMP encounter data submission requirements are not impacted by the HPMS memo of July 26, 2016, entitled “Encounter Data Submission Timing Guidance Reminder and Update,” which was directed to Medicare Advantage plans.

Download the Guidance Document

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

Issue Date: August 10, 2016

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.