Enrollment Technical Assistance

Enrollment Technical Assistance

 
Enrollment
Purpose
The Enrollment session will provide Medicare Advantage (MA) organizations, Prescription Drug Plans, and other Medicare health plans with information and resources that will simplify and clarify the terminology, processes, and changes in enrollment. By providing enrollment and disenrollment guidelines, CMS ultimately encourages accurate processing.
 
Recommended Audience
The recommended audience from the following organization types should find this session useful:
  • Medicare Advantage (MA) Organizations
  • Other Medicare Health Plans (PACE, Cost Plans, etc.)
  • Standalone Prescription Drug Plans (PDPs)
  • Enrollment Vendors and Third Party Submitters
  • Industry Associations
This session is intended for staff in the following roles or departments responsible for the information covered in this session:
  • Enrollment Specialist
  • Operations
  • Information Technology (IT)
Attendance Eligibility
A maximum of two (2) attendees per CMS Contract ID. The initial registrant will be approved and any additional registration requests will be approved based on availability.
 
Duration
This session will run for approximately four (4) hours. The Technical Assistance session will begin at 12:00 PM (ET), and will conclude at 4:00 PM (ET).
 
Module Topics & Descriptions
Icon Enrollment Data Validation and Quality Review
This session will focus on the process and experience of the CMS data validation activities, including the RPC Quality Review. The group will explore areas of concern and look to share best practices. The group will review examples of Quality Review responses and learn to identify successful versus unsuccessful submissions.
Icon e-RPT Refresher and Upcoming Enhancements
This module will provide a refresher on the use of the Electronic Retroactive Processing Transmission (eRPT) application. It will detail the requirements for each type of submission package plans can send to the Retroactive Processing Contractor (RPC) as well as response documents provided by the RPC. There will also be an overview of enhancements planned for a future release.
Icon End of Year Process
This session will provide an in-depth review of the processes that occur annually, as well as the associated timeline. Participants will gain a better understanding of their role with the re-deeming, reassignment, and rollover process.
Icon Number of Uncovered Months
Participants in this session will review policies and procedures that address computing and reporting the Number of Uncovered Months for application of the Part D Late Enrollment Penalty.
Icon Cancellations, Reinstatements, and Retroactive Enrollments
This session will review policies and procedures that address the differences between enrollment actions. Participants will gain a better understanding of their role with processing cancellation, reinstatement, and retroactive enrollment actions.
Icon Common Enrollment Issues
This session will review a variety of topics for which plans frequently request clarification. Participants will gain a better understanding of election periods and enrollment processes related to Employer Group Health Plans and hierarchy of election periods.
 
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Registration
Registration Closed