State & Enrollment Broker Retroactive Submission Toolkit

The State & Enrollment Broker Retroactive Submission Toolkit is designed to provide contracts participating in the Financial Alignment Demonstration with valuable resources to properly submit retroactive transactions to us. Please select the links below to download the required forms and instructions to submit transactions in accordance with CMS Guidelines.

MMCO Retroactive Submission Spreadsheet

MMCO Required Documentation

Definition of Codes on Final Disposition Reports

RPC Transaction Inquiry Template


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