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Revisions to the Retroactive Processing Contractor’s Toolkit and Standard Operating Procedures are now available! Please begin using the new materials found under our “Retroactive Processing Services” menu immediately. NOTE: All Plans will be required to use the 2011 materials by January 16, 2012.
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RPC ANNOUNCEMENTS & HPMS MEMOS
10/06/2011 - UPDATE: This memo serves as notice that the RPC will begin the initial phases of the Enrollment Data Validation (EDV) Review process. Once CMS approval has been provided, more detailed information will be provided in the RPC Standard Operating Procedure (SOP) which will be posted on the RPC website.
Please click on the link below for more information on the Enrollment Data Validation (EDV) Review Process:
12/22/2009 - UPDATE: Effective December 24, 2009, the Centers for Medicare and Medicaid Services (CMS) issued guidance to all PACE organizations on the Medicare retroactive member enrollment and disenrollment process. Instructions on how to submit retroactive requests for PACE members can be found in the RPC’s Standard Operating Procedure (SOP) for Enrollment and Disenrollment transactions (beginning on page 7).
Please click on the link below for more information on retroactive PACE enrollment guidance:
07/21/2009 - UPDATE: Effective August 3, 2009, Reed & Associates was designated the sole contractor to provide Retroactive Enrollment and Payment Validation services for all Medicare Advantage Organization,
Part D Sponsors, Cost-based Plans and PACE Organizations.
Please click on the link below for more information:
05/11/2009 - UPDATE: New CMS HPMS Memo on Additional Guidance and revised submission instructions on Low Income Subsidy Deeming Changes.
Please click on the links below.
04/09/2009 - UPDATE: New CMS HPMS Memo on Distribution of Final Disposition Reports & Probe Study Materials from the Retroactive Processing Contractor (Reed & Associates)
Please click on the links below.
02/24/2009 - UPDATE: New CMS HPMS Memo on submitting retroactive enrollment and disenrollment activity to the Retroactive Processing Contractor (RPC).
Please click on the links below.
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