OMB control number
The Medicare Advantage and Prescription Drug Programs: Part C and Part DMedicare Advantage Prescription Drug (MARx) System Updates for the Medicare Prescription Payment Plan Program (CMS-10887 - IRA
OMB 0938-1468 · HHS/CMS.
The purpose of this data submission request is to support oversight and program integrity for Part D enrollees who participate in the Medicare Prescription Payment Plan program, which was established under Section 11202 of the Inflation Reduction Act of 2022, Public L. 117-169 (IRA). Under this program, MA Organizations offering Part D coverage and Part D sponsors are required to offer enrollees the option to pay their Part D cost sharing in monthly amounts spread out over the plan year based on the formula described in section 1860D-2(b)(2)(E)(iv) of the Act. To effectively monitor the program, Part D plans will be required to report data elements related to the program at the beneficiary, contract, and Plan Benefit Package (PBP) levels beginning in Contract Year (CY) 2025. CMS proposes to require Part D plans to submit beneficiary-level data elements into the MARx system via a program-specific transaction. Our fundamental goal is to have the least burdensome data submission requirements necessary to acquire the data needed for accurate Medicare Prescription Payment Plan program oversight. CMS believes that collecting beneficiary-level data through MARx is the most effective way for us to oversee implementation of this program. Beneficiary-level data will enable CMS to better understand participation patterns across different populations, address enrollee concerns related to the program in near real-time and inform CMS of changes to potential guidance and program requirements in the future.
The latest form for The Medicare Advantage and Prescription Drug Programs: Part C and Part DMedicare Advantage Prescription Drug (MARx) System Updates for the Medicare Prescription Payment Plan Program (CMS-10887 - IRA expires 2027-05-31 and can be found here.
Document Name |
|---|
Form and Instruction |
Form and Instruction |
Supporting Statement A |
Supplementary Document |
Supplementary Document |
Form CMS-10887 New MARx File and Addition of Program-Specific Fields (One-time burden)
CMS-10887_MARx_Supporting Statement A.docx
PRA_MARx_OMB 0938_Public Comment Responses_04022024.xlsx
New MARx File and Addition of Program-Specific Fields (One-time burden) |
Approved without change |
New collection (Request for a new OMB Control Number) | 2024-04-08 |
Beneficiary-Level Program Data Submission:
Federal Enterprise Architecture: Health - Health Care Services
| Form CMS-10887 | Medicare Prescription Payment Plan example data layout | Printable Only | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.