Summary of Changes

Attachment C
Paperwork Reduction Act Submission
OMB # 0938 – 0944
CMS-10142
Summary of MA BPT Changes from CY2026 to CY2027
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Updated Contract Year from CY2026 to CY2027

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Worksheet 1 – MA BASE PERIOD EXPERIENCE AND PROJECTION
ASSUMPTIONS

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Removed VBID-C indicator on Worksheet 1 Section I (no longer applicable)

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Edited the Label VI. Base Period Risk-Sharing Payment Adjustments to VI. Base
Period Risk-Sharing Payments for clarity

Worksheet 4 – MA PROJECTED REVENUE REQUIREMENT PMPM
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Edited the label in Cell T74 from Projected Risk-Sharing Payment Adjustments to
Projected Risk-Sharing Payments for clarity

Worksheet 6 – MA BID SUMMARY
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Updated the validation in cell R37 from “If R47 is LIS and R36 is greater than
zero, then R37 must be greater than zero” to “If R47 is LIS and R36 is greater
than zero, then R37 must be greater than or equal to zero.”

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Updated Maximum Part B Buy-Down amount in cell E14 to $202.90

Summary of Part D BPT Changes from CY2026 to CY2027
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Updated Contract Year from CY2026 to CY2027

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Worksheet 1 – Rx BASE PERIOD EXPERIENCE
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Replaced VBID-D indicator (no longer applicable) with Bal-D indicator on
Worksheet 1 Section I

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Removed Non-LI Brand Discount Amount from Cell M60 (no longer applicable)

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Activated the “Uncollected Cost Sharing Payments M3P” line on Worksheet 1,
Section IV, cell G52.

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Activated and relocated “Manufacturer Discount” on Worksheet 1 from Section
III to cell M60. This is because the PDE does not include the manufacturer
discount in the CPP field, so it does not need to be subtracted from Average Paid
Amount per Member.

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Worksheet 7– SUMMARY OF KEY BID ELEMENTS
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Removed Worksheet 7, Section III, line 4 (maximum base beneficiary premium)
from the BPT. The 106% limit over the prior contract year BBP still applies.

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Added a critical validation such that the total Part D premium must be greater
than or equal to zero. Specifically, WS7 cells F21+F25 must be >= 0.

The CY 2027 Draft MA and Part D Bid instructions were updated to reflect the proposed
changes presented on the November 2025 User Group Call including changes resulting
from industry feedback on that call and to reflect the BPT revisions outlined above.
The revisions were necessary for accuracy and/or applicability and to reflect changes
from the Inflation Reduction Act (IRA). The revisions neither increase nor decrease the
burden.

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