This section provides information about the development and improvement of all bidding and payment policies related to the Medicare Prescription Drug Benefit and the Medicare Advantage program for the individual and employer sponsored group market.
Downloads
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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)