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.
All Medicare Advantage applicants must download the payment information form below and submit it with their application.
While HPMS plan users are automatically subscribed to the HPMS list serv, prospective plan applicants and other interested parties without access to the system may request to join the listserv’s supplemental mailing list to stay abreast of the agency’s communications on the Medicare Advantage (MA) and Part D programs.
To facilitate this process, CMS has implemented an online form that can be used to join one or more HPMS listservs, modify your current listserv access, or delete your current listserv access.
CMS makes additions and modifications to the HPMS listserv on a weekly basis.
CMS is also publishing HPMS memos on the CMS public website on a weekly basis. The HPMS-Memos-Archive may be found in the related links section below.
January 2020: For CY 2020, CMS has revised the time and distance standards for MAOs operating in the following Hawaiian counties: Hawaii, Honolulu, Kalawao, Kauai and Maui. These changes will not be reflected in HPMS, and MAOs will not be required to submit exception requests for network deficiencies related to county type designation changes in these counties. For a detailed list of changes, please refer to the Criteria Changes tab in the CY 2020 Health Services Delivery Reference File.