Other Resource

QMB Billing HPMS memo

This Centers for Medicare & Medicaid Services (CMS) Health Plan Management System (HPMS) memorandum reminds Medicare plans of their obligation to educate network providers, suppliers, and pharmacies about, and ensure compliance with, QMB billing rules. It also provides information regarding Centers for Medicare & Medicaid Services (CMS) resources that are available to plans to identify Qualified Medicare Beneficiary (QMB) status.

Contract Year (CY) 2021 Notices for Applicable Integrated Plans

Please see the attached memorandum entitled "Contract Year (CY) 2021 Notices for Applicable Integrated Plans: “Coverage Decision Letter”, “Letter about Your Right to Make a Fast Complaint” and “Appeal Decision Letter”" from Sharon Donovan, Director, Program Alignment Group, Medicare-Medicaid Coordination Office. The memorandum describes the notices available for D-SNPs that are applicable integrated plans.