Plan Payment

Downloads

• Submission of Health Insurance Prospective Payment System (HIPPS) Codes to Encounter Data System (PDF)
• Additional Information Regarding the Mandatory Payment Reductions in the Medicare Advantage, Part D, and Other Programs (PDF)
• Request for Comments – Possible Change to Part D Date of Death Editing (PDF)
• Report to Congress: Alternative Payment Models and Medicare Advantage (PDF)
• Additional Guidance Regarding Submission of Health Insurance Prospective Payment System (HIPPS) Codes to Encounter Data System (PDF)
• PDE Guidance for Post Point-of-Sale Claim Adjustments (PDF)
• Measuring Health Care Utilization in MA Encounter Data (PDF)