OMB control number
Medicare Part C and Part D Program Audit and Industry-Wide Part C Timeliness Monitoring Project (TMP) Protocols (CMS-10717)
OMB 0938-1395 · HHS/CMS.
42 CFR 422.502 describes CMS' regulatory authority to evaluate, through inspection or other means, Medicare Advantage Part C organizations. These records include books, contracts, medical records, patient care documentation and other records that pertain to any aspect of services performed, reconciliation of benefit liabilities, and determination of amounts payable. 42 CFR 423.503 states that CMS must oversee a Part D plan sponsor's continued compliance with the requirements for a Part D plan sponsor. 423.514 states that the Part D plan sponsor must have an effective procedure to develop, compile, evaluate, and report to CMS, to its enrollees, and to the general public, at the times and in the manner that CMS requires, statistics regarding areas such as cost of operations, patterns of utilization availability, accessibility, and acceptability of services. CMS developed a strategy to address our oversight and audit responsibilities within the context of limited audit/oversight resources. We have combined all Part C and Part D guides into one universal guide promoting efficiency and effectiveness and reducing financial and time burdens for both CMS and Medicare-contracting entities.
The latest form for Medicare Part C and Part D Program Audit and Industry-Wide Part C Timeliness Monitoring Project (TMP) Protocols (CMS-10717) expires 2027-01-31 and can be found here.
Document Name |
|---|
Supporting Statement A |
Supplementary Document |
Supplementary Document |
CMS10717SupportingStatementA.docx
ResponsesToCommentsReceived60Day.pdf
Yearly Industry-Wide Timeliness Monitoring Project (TMP) |
Approved without change |
Extension without change of a currently approved collection | 2023-10-17 | |
|
Approved with change |
New collection (Request for a new OMB Control Number) | 2020-06-05 |
Program Audits
Federal Enterprise Architecture: Health - Health Care Services
| Form CMS-10717 | Part D Formulary and Benefit Administration (FA) Supplemental Questionnaire | Fillable Printable | Form and instruction |
| Form CMS-10717 | CPE Compliance Officer Questionnaire Compliance Officer Questionnaire (CO-Q) | Fillable Printable | Form and instruction |
| Form CMS-10717 | Pre Audit Issue Summary | Fillable Printable | Form |
| Form CMS-10717 | Attendance Log for Meetings/Webinars/Conferences | Fillable Printable | Form and instruction |
| Form CMS-10717 | Special Needs Plans - Care Coordination Supplemental Questionnaire | Fillable Printable | Form and instruction |
| Form CMS-10717 | Root Cause Analysis | Fillable Printable | Form |
| Form CMS-10717 | Independent Validation Audit Work Plan | Fillable Printable | Form and instruction |
| Form CMS-10717 | First Tier, Downstream, and Related Entities Operations Oversight Questionnaire | Fillable Printable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.