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This page contains enrollment and disenrollment guidance for current and future contracting Part D plan sponsors and other parties interested in the operational and regulatory aspects of Part D plan enrollment and disenrollment. NEW! – Clarification on CY 2012 PDP Enrollment and Disenrollment Guidance CMS has clarified a few items in the CY 2012 guidance. These clarifications include an expansion of the 5-Star SEP for cost plans and a coordinating Part D SEP for individuals who use the 5-Star SEP. The CY 2012 guidance has been updated and is now available below. The HPMS memo summarizing all the clarifications is also available below. Notes Regarding CY 2012 MA Enrollment and Disenrollment Guidance:
All enrollments with an effective date on or after January 1, 2012 must be processed in accordance with the revised guidance requirements, including new model enrollment forms and notices provided.
While CMS expects PDP sponsors to update all model correspondence in accordance with the updated versions, there are some model exhibits in the PDP enrollment guidance that have changes so minimal that plans are not required to submit updates at this time. However, CMS expects that plan model notices will reflect these changes the next time the PDP sponsor chooses to update them (or when CMS updates them further). Exhibits in the PDP enrollment guidance update that have minimal changes not requiring immediate updating are: Exhibits 3, 6, 8, 9, 11, 12, and 19.
| Downloads | CY 2012 Enrollment Guidance Clarification memo - November 16, 2011 [PDF, 52KB] FINAL PDP Enrollment and Disenrollment Guidance Update for CY 2012-REVISED November 16, 2011 [PDF, 1624KB] Summary of FINAL PDP Enrollment and Disenrollment Guidance Update for CY 2012-August 19, 2011 [PDF, 172KB] FINAL PDP Enrollment and Disenrollment Guidance Update for CY 2011-August 17, 2011 [PDF, 1083KB] Summary of FINAL PDP Enrollment and Disenrollment Guidance Update for CY 2011-August 17, 2010 [PDF, 69KB] Additional Guidance for PDPs Receiving Auto-Enrollments [PDF, 24KB] | | Related Links Inside CMS | There are no Related Links Inside CMS | | Related Links Outside CMS |  | There are no Related Links Outside CMS
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Page Last Modified: 11/16/2011 4:32:33 PM
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