Technical Guide for Medicare-Medicaid Plan Enrollment v 3.0

March 2019

The Centers for Medicare & Medicaid Services (CMS) has released an updated version (3.0) of Medicare and Medicaid Plans: A Technical Guide to Eligibility and Enrollment Transaction Processing. Version 3.0 of the technical guide continues to address the CMS Fall 2018 Software changes as documented in the final HPMS notice dated October 4, 2018. A new date field (Beneficiary’s Last use of Dual/LIS Special Election Period (SEP – Election type “L”) has been added to the MBD Eligibility Response layout. The revision history section of the document details this change.