Medicare Advantage Applications
This page provides important information on the application process for Part C Medicare Advantage plans (HMO/HMOPOS, PPO, RPPO, PFFS, MSA, EGWP and SNP). Please use the Medicare Prescription Drug link in the “Related Links Inside CMS” section below to access Medicare Prescription Drug application materials.
Medicare Contract Applications - Organizations that are interested in applying for a Medicare Advantage contract can download and complete the appropriate application.
Applicants and other interested parties, whom do not have access to Health Plan Management System (HPMS), can stay abreast of current HPMS memos and guidance by subscribing to the Medicare Advantage listserv.
Subscribers to the CMS PLAN or INDUSTRY listservs receive memos and guidance regarding Medicare Advantage and Part D prescription drug programs.
Subscribing to the Medicare Advantage listserv is easy!
If you do not have access to HPMS but would like to receive CMS guidance and memos, simply request to be added to one of the following listservs:
PLAN listserv: Choose this listserv to get HPMS guidance and memos if you are a user that works for an MA or Part D organization but your role in the company does not require HPMS access.
INDUSTRY listserv: Choose this listserv if you are an industry user that is not associated with any existing MA or Part D organization, but work with MA and Part D in some capacity (e.g., consultants, PBMs, doctors, pharmacists, etc).
Please email your request directly to Sara Silver at Sara.Silver@cms.hhs.gov. Please indicate in the email which listserv you wish you join. If you wish to join the PLAN listserv please provide the contract number(s) you are associated with.
All Medicare Advantage applicants must download the payment information form below and submit it with their application.
- Contract Year (CY) 2015 Part C (Medicare Advantage) and 1876 Cost Plan Expansion Application [ZIP, 1MB]
- CY2015_MA_HSD_Reference File [ZIP, 1MB]
- Model_Contract_Amendment_HPMS_Memo_10_05_12 [PDF, 27KB]
- Model_Contract_Amendment_10_05_12 [PDF, 32KB]
- Revised Payment Information Form for all Medicare Managed Care Contract Applications [PDF, 15KB]
- 2015_Guidance_Memo_12_20_2013 [PDF, 44KB]
- CY2015_MA_HSD_Network_Criteria_Guidance [PDF, 150KB]
- Page last Modified: 01/13/2014 4:40 PM
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