| 2015 (old version) | 2016 (new version) | Type of Change | Reason for Change | Burden Change |
| Enrollment: 1 A: The total number of enrollment requests received in the specified time period. | Enrollment: 1 A: The total number of enrollment requests (i.e., requests initiated by the beneficiary or his/her authorized representative) received in the specified time period. Do not include auto/facilitated or passive enrollments, rollover transactions or other enrollments effectuated by CMS. | Rev | Provided technical clarification. | No |
| Enrollment: 1 I: Of the total reported in A, the number of internet enrollment requests received via plan website (if Sponsor offers this mechanism). | Enrollment: 1 I: Of the total reported in A, the number of internet enrollment requests received via plan or affiliated third-party website (if Sponsor offers this mechanism). | Rev | Provide technical clarification. | No |
| Disenrollment: 2 A:The total number of voluntary disenrollment requests received in the specified time period. | Disenrollment: 2 A: The total number of voluntary disenrollment requests received in the specified time period. Do not include disenrollments resulting from an individual’s enrollment in another plan. | Rev | Provide technical clarification. | No |
| N/A | Disenrollment: 2 D: The total number of involuntary disenrollments for failure to pay plan premium in the specified time period. | Add | Revise data collection necessary for monitoring purposes. | No |
| N/A | Disenrollment: 2 E: Of the total reported in D, the number of disenrolled individuals who submitted a timely request for reinstatement for Good Cause. | Add | Revise data collection necessary for monitoring purposes. | No |
| N/A | Disenrollment: 2 F: Of the total reported in E, the number of favorable Good Cause determinations. | Add | Revise data collection necessary for monitoring purposes. | No |
| N/A | Disenrollment: 2 G: Of the total reported in F, the number of individuals reinstated. | Add | Revise data collection necessary for monitoring purposes. | No |
| MTM: Q: Date(s) of CMR(s) with written summary in CMS standardized format. (If more than 1 CMR is received, up to 5 dates will be allowed.) Required if received annual CMR. | MTM: Q: Date(s) of CMR(s) with written summary in CMS standardized format. (If more than 1 CMR is received, up to 2 dates will be allowed.) Required if received annual CMR. | Rev | After analyzing the data it was concluded that only 2 dates are needed for monitoring purposes. | No |
| MTM: S: Qualified Provider who performed the initial CMR. (Physician; Registered Nurse; Licensed Practical Nurse; Nurse Practitioner; Physician’s Assistant; Local Pharmacist; LTC Consultant Pharmacist; Plan Sponsor Pharmacist; Plan Benefit Manager (PBM) Pharmacist; MTM Vendor Local Pharmacist; MTM Vendor In-house Pharmacist; Hospital Pharmacist; Pharmacist – Other; or Other). Required if received annual CMR. | MTM: S: Qualified Provider who performed the initial CMR. (Physician; Registered Nurse; Licensed Practical Nurse; Nurse Practitioner; Physician’s Assistant; Local Pharmacist; LTC Consultant Pharmacist; Plan Sponsor Pharmacist; Plan Benefit Manager (PBM) Pharmacist; MTM Vendor Local Pharmacist; MTM Vendor In-house Pharmacist; Hospital Pharmacist; Pharmacist – Other; Supervised Pharmacy Intern; or Other). Required if received annual CMR. | Rev | Provide technical clarification. | No |
| Prompt Payment by Part D Sponsors | Prompt Payment by Part D Sponsors | Del | The data collection is no longer necessary for monitoring purposes. | No |
| Long-Term Care (LTC) Utilization: C: The total number of beneficiaries in LTC facilities for whom Part D drugs have been provided under the Contract. | Long-Term Care (LTC) Utilization: C: The total number of beneficiaries in LTC facilities for whom Part D drugs have been provided under the CMS Contract. | Rev | Provide technical clarification. | No |
| Fraud, Waste and Abuse Compliance Program | Fraud, Waste and Abuse Compliance Program | Del | The data collection is no longer necessary for monitoring purposes. | No |
| Plan Oversight of Agents | Plan Oversight of Agents | Rev | Increased hours. Data collection needed to increase for monitoring purposes. No new data added. | Yes, because additional data is needed for monitoring purposes. |
| 2015 (old version) | 2016 (new version) | Type of Change | Reason for Change | Burden Change |
| Long-Term Care (LTC) Utilization | Long-Term Care (LTC) Utilization | Del | The data collection is no longer necessary for monitoring purposes. | Yes-Reduces Burden |
| Plan Oversight of Agents | Sponsor Oversight of Agents | Rev | Provide technical clarification. | No |
| Sponsor Oversight of Agents: 1 F: Agent/Broker State Licensed. For agents licensed in multiple states, complete a row for each state in which the agent is licensed. | Sponsor Oversight of Agents: 1 F: Agent/Broker State Licensed. For agents licensed in multiple states, complete a row for each state in which the agent is licensed if they also earned compensation in that state. | Rev | Provide technical clarification. | No |
| Sponsor Oversight of Agents: 1 H: Plan Assigned Agent/Broker Identification Number | Sponsor Oversight of Agents: 1 H: Sponsor Assigned Agent/Broker Identification Number | Rev | Provide technical clarification. | No |
| Sponsor Oversight of Agents: 1 I: Agent/Broker Current License Effective Date. | Sponsor Oversight of Agents: 1 I: Agent/Broker Current License Effective/Renewal Date (if applicable). | Rev | Provide technical clarification. | No |
| Sponsor Oversight of Agents: 1 J: Agent/Broker Appointment Date. | Sponsor Oversight of Agents: 1 J: Agent/Broker Appointment Date (if applicable). This date should be the most recent date the agent becomes affiliated with the sponsor. | Rev | Provide technical clarification. | No |
| Sponsor Oversight of Agents: 1 K: Agent/Broker Training Completion Date | Sponsor Oversight of Agents: 1 K: Agent/Broker Training Completion Date for the previous calendar year products. (Ex. If the current year is 2016 it would be CY2015 products, etc.) | Rev | Provide technical clarification. | No |
| Sponsor Oversight of Agents: 1 L: Agent/Broker Testing Completion Date | Sponsor Oversight of Agents: 1 L: Agent/Broker Testing Completion Date for the previous year products.. (Ex. If the current year is 2016 it would be CY2015 products, etc.) | Rev | Provide technical clarification. | No |
| Sponsor Oversight of Agents: 2 K: Plan Assigned Agent/Broker Identification Number. | Sponsor Oversight of Agents: 2 K: Sponsor Assigned Agent/Broker Identification Number. | Rev | Provide technical clarification. | No |
| Sponsor Oversight of Agents: 2 L: Enrollment Mechanism. (Plan/Plan Representative Online; CMS Online Enrollment Center; Plan Call Center; 1-800-MEDICARE; Paper Application; Auto-Assigned/Facilitated; Other). | Sponsor Oversight of Agents: 2 L: Enrollment Mechanism. (Sponsor/Sponsor Representative Online; CMS Online Enrollment Center; Sponsor Call Center; 1-800-MEDICARE; Paper Application; Auto-Assigned/Facilitated; Other). | Rev | Provide technical clarification. | No |
| General Change: Reporting Deadlines had specific dates. | General Change: Staggered deadlines and avoided specific dates. | Rev | Decrease system overload, decrease user response time. | No |
| Enrollment and Disenrollment Reporting Timeline: Data due to CMS/HPMS: August 31 and February 28 | Enrollment and Disenrollment Reporting Timeline: Data due to CMS/HPMS: Last Monday of August and Last Monday of February | Rev | Decrease system overload, decrease user response time. | No |
| Retail, Home Infusion, and Long-Term Care Pharmacy Access Reporting Timeline (Section 1 only): Data due to CMS/HPMS: May 31 | Retail, Home Infusion, and Long-Term Care Pharmacy Access Reporting Timeline (Seciton 1 only): Data due to CMS/HPMS: First Monday of May | Rev | Decrease system overload, decrease user response time. | No |
| Retail, Home Infusion, and Long-Term Care Pharmacy Access Reporting Timeline (Sections 2 & 3 only): Data due to CMS/HPMS: February 28 | Retail, Home Infusion, and Long-Term Care Pharmacy Access Reporting Timeline (Sections 2 & 3 only): Data due to CMS/HPMS: First Monday of February | Rev | Decrease system overload, decrease user response time. | No |
| Medication Therapy Management Reporting Timeline: Data due to CMS/HPMS: February 28 | Medication Therapy Management Reporting Timeline: Data due to CMS/HPMS: First Monday of February | Rev | Decrease system overload, decrease user response time. | No |
| Grievances Reporting Timeline: Data due to CMS/HPMS: February 28 (reporting for all quarters due on this date) | Grievances Reporting Timeline: Data due to CMS/HPMS: First Monday of February (reporting for all quarters due on this date) | Rev | Decrease system overload, decrease user response time. | No |
| Coverage Determinations and Redeterminations Reporting Timeline: Data due to CMS/HPMS: February 28 (reporting for all quarters due on this date) | Coverage Determinations and Redeterminations Reporting Timeline: Data due to CMS/HPMS: Last Monday of February (reporting for all quarters due on this date) | Rev | Decrease system overload, decrease user response time. | No |
| Employer/Union-Sponsored Group Health Plan Sponsors Reporting Timeline: Data due to CMS/HPMS: February 28 | Employer/Union-Sponsored Group Health Plan Sponsors Reporting Timeline: Data due to CMS/HPMS: First Monday of February | Rev | Decrease system overload, decrease user response time. | No |
| Plan Oversight of Agents Reporting Timeline: Data due to CMS/HPMS: February 28 | Sponsor Oversight of Agents Reporting Timeline: Data due to CMS/HPMS: First Monday of February | Rev | Decrease system overload, decrease user response time. | No |
| 2015 (old version) | 2016 (new version) | Type of Change | Reason for Change | Burden Change |
| MTM-Element X: Topics discussed with the beneficiary during the CMR, including the medication or care issue to be resolved or behavior to be encouraged. (If more than 1 topic discussed, up to 5 topics will be allowed to be reported.) These are the descriptions of the topics listed on the beneficiary’s written summary in CMS standardized format in the Medication Action Plan under ‘What we talked about’. Required if received annual CMR. | MTM-Element X: Topics discussed with the beneficiary during the CMR, including the medication or care issue to be resolved or behavior to be encouraged. (If more than 1 topic discussed, up to 5 topics will be allowed to be reported.) These are the descriptions of the topics listed on the beneficiary’s written summary in CMS standardized format in the Medication Action Plan under ‘What we talked about’. Required if received annual CMR. | Del | The utility of these free-text data are limited. There is work in the industry to develop standardized fields for this information. We will suspend collection of this type of information until a more standardized set of data can be collected. | No |
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |