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MAPD Help Desk

Email address:             MAPDHelp@cms.hhs.gov
Help Desk Phone:       1-800-927-8069

Medicare Advantage Prescription Drug (MAPD) Help Desk offers technical and functional support for the Medicare Advantage Health and Prescription Drug Coverage (Parts C and D) Programs.  This insurance coverage is provided by:

  • Medicare Advantage (MA) Plans.
  • Medicare Advantage Prescription Drug (MAPD) Plans.
  • Medicare Prescription Drug Plans (PDPs)
  • Third parties conducting data exchanges with CMS on behalf of MA/MAPD/PDPs.

Technical Support for Plan Connectivity and Access:

  • Startup, testing and implementation for connectivity to CMS systems.
  • Ongoing operational support for data exchanges and system problems.
  • EIDM - Enterprise IDentity Management for CMS system access and password reset inquires and issues.

MAPD Functional Support for Inquires and Issues:

  • Coordination with CMS for beneficiary enrollment, disenrollment, payment and premium topics.
  • MARx UI - Medicare Advantage Prescription Drug User Interface.
  • eRPT - Electronic Retroactive Processing transmission.
  • ELMO - Eligibility Enrollment Medicare Online.
  • COB - Coordination of Benefits files.
  • MDR - Medicaid Drug Rebate State Exchange.

For helpful information about the following topics, please click the link:

Bulletin Board of Current Plan Communications

  • June 15, 2017 – MARx UI, MFT and Gentran Availability from Saturday, June 17  – Sunday, June 18

Due to system maintenance, please note the following anticipated resource outages:

·  MARx UI & ELMO: unavailable from 12:00 AM ET – 6:00 AM ET Saturday, June 17 and from 11:30 PM ET Saturday, June 17 – 8:00 AM ET Sunday, June 18
·  MFT and Gentran: unavailable from 9:00 PM ET Saturday, June 17 – 12:00 PM ET Sunday, June 18

  • June 8, 2017 – MARx UI and ELMO Availability on Sunday, June 11, 2017

Due to planned system maintenance, please be advised that the MARx UI and ELMO will be unavailable from 12:00 AM ET – 4:00 AM ET Sunday, June 11.

  • May 31, 2017 - Plan Communications User Guide (Version 11.1) Now Available

The Centers for Medicare & Medicaid Services has posted a new version (version 11.1) of the Plan Communications User Guide to the MAPD Help Desk Web site.  Enhancements to the Guide reflect changes incorporated from the May 2017 Release.  Please reference the MAPD Plan Communications User Guide (PCUG) link for the updated Guide.

  • Electronic Retroactive Processing Transmission (eRPT) User Manual v3.3

The eRPT Plan User Manual v3.3 has been updated and is available in the Downloads section below.

If you have any questions, please send an email to ERPT_REMEDY@scopeinfotechinc.com.

  • Important Notice: MAPD Help Desk Information Request Documents

Please be advised, a new information request form has been developed for use when e-mailing the MAPD Help Desk.  Use of this form is required for new inquiries, and will help ensure that all information necessary for the MAPD Help Desk to provide prompt service is captured.  In support of this form, a spreadsheet template is provided for those who need to submit HICNs with their support request.  Use of the form and when applicable the associated spreadsheet will help facilitate accurate and timely processing of your support request.  Please note that when using the spreadsheet to ensure CMS Security Policy for sending PII is followed. 

Both the MAPD Help Desk Information Request Form and MAPD Help Desk HICN Spreadsheet are provided in the Downloads section below, in the attachment titled, “MAPD Help Desk Information Request Documents.”

If you have any questions regarding secure submission of PII and/or the use of the MAPD Help Desk Information form or spreadsheet, please contact the MAPD Help Desk.

 

Regularly Scheduled Maintenance

As a reminder, the MARx UI may be unavailable due to Regularly Scheduled Maintenance during the following timeframes:

  • Daily: 11:00 PM to 12:30 AM ET.
  • Weekly: Sunday evening at 6:00 PM to Monday morning at 6:00 AM ET.

Also, GENTRAN/TIBCO may be unavailable due to Weekly System Backup during the following timeframe:

  • Weekly: Sunday Morning at 1:00 AM to approximately 3:00 AM ET.

 

MARx UI Submission Cut Off Dates

Please reference the following table for the 2017 Plan Data Due dates for MARx transaction submissions.  Cutoff for the submission of MARx transaction files is 8:00 PM (Eastern Time) on the dates listed below:

Payment Month Plan Data Due Date
 January 2017 December 9, 2016
February 2017 January 6, 2017
March 2017 February 3, 2017
April 2017 March 10, 2017
May 2017 April 7, 2017
June 2017 May 12, 2017
July 2017 June 9, 2017
August 2017 July 7, 2017
September 2017 August 11, 2017
October 2017 September 8, 2017
November 2017 October 6, 2017
December 2017 November 10, 2017

 

 

Contacting the MAPD Help Desk

Phone: 1-800-927-8069
E-mail: mapdhelp@cms.hhs.gov
Hours of Operation: Monday-Friday 8:00 AM to 6:00 PM ET.