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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