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DIVISION OF MEDICARE ADVANTAGE OPERATIONS GUIDANCE RESOURCES FOR MA, SNP, CHOW/NOVATIONS, MA/SNP-APPLICATIONS, AND SARS/NON-RENEW/TERMINATIONS ABOUT THE DMAO PORTAL This site serves as a single portal for submitting questions pertaining to various aspects of Division of Medicare Advantage Operations (DMAO) related services, including: Medicare Advantage (MA), Special Needs Plan (SNP), MA/SNP Applications, Change of Ownership (CHOW)/Novations, and Service Area Reductions (SARs)/Non-Renewal (NR)/Terminations. MEDICARE ADVANTAGE OPERATIONS (MA) SARS/NON-RENEW/TERMINATIONS SPECIAL NEEDS PLAN (SNP) MA/SNP APPLICATIONS CHANGE OF OWNERSHIP(CHOW) /NOVATIONS ADDITIONAL RESOURCES Resources if your questions do not relate to MA, SNP, MA/SNP Applications, CHOW/Novations, and SARs/Non-Renew/Terminations. IF YOU HAVE QUESTIONS RELATED TO ANY OF THE FOLLOWING AREAS, PLEASE USE THE EMAIL ADDRESSES OR URLS PROVIDED BELOW: Encounter Data, please submit an email to encounterdata@cms.hhs.gov Risk Adjustment, please submit an email to riskadjustment@cms.hhs.gov Marketing, please submit an email to Marketing@cms.hhs.gov Part C and Part D Star Ratings, please submit an email to PartCandDStarRatings@cms.hhs.gov HEDIS, please submit an email to hedisquestions@cms.hhs.gov Part C Quality, including the Model of Care, please submit question via: https://dpap.lmi.org/ Application Crosswalk Exceptions questions/requests, please submit an email to HPMScrosswalkexceptions@cms.hhs.gov Medicare Advantage Benefit questions, please submit an email to https://mabenefitsmailbox.lmi.org HPMS access, please submit any questions or requests to hpms_access@cms.hhs.gov Technical HPMS questions (e.g., PBP download, plan creation, bid upload), please contact the HPMS Help Desk at 1-800-220-2028 or hpms@cms.hhs.gov Out-of-Pocket Cost (OOPC) model technical questions, please submit an email to OOPC@cms.hhs.gov Part D policy questions, please submit an email to partdpolicy@cms.hhs.gov Part D benefits questions, please submit an email to partdbenefits@cms.hhs.gov Bid Pricing Tool (BPT) questions, please submit an email to actuarial-bids@cms.hhs.gov For Part C Medicare Advantage policy questions, please submit an email to: https://dpap.lmi.org/DPAPMailbox/ Medicare Medicaid Program, please submit an email to mmcocapsmodel@cms.hhs.gov Part C Appeals or Medicare Managed Care Manual Chapter 13, please submit an email to Part_C_Appeals@cms.hhs.gov For Medicare Advantage Value-Based Insurance Design (MA-VBID) model questions, please submit an e-mail to: MAVBID@cms.hhs.gov Privacy Policy | Accessibility | Freedom of Information Act | Auxiliary Aids and Services U.S. Centers for Medicare & Medicaid Services. 7500 Security Boulevard, Baltimore, MD 21244 Site developed and maintained by * (inherited font) * Arial * Courier New * Georgia * Impact * Lucida Console * Tahoma * Times New Roman * Trebuchet MS * Verdana * (inherited size) * 1 (8pt) * 2 (10pt) * 3 (12pt) * 4 (14pt) * 5 (18pt) * 6 (24pt) * 7 (36pt) Edit Content Close (Optional) Select a previous version: rdeol - 03 Dec 2019 16:53 dmartinez - 09 May 2019 08:21 rdeol - 03 Dec 2019 16:53 Apply sectionEditorddb490f8-b014-4b12-a2c4-015cb9ccebf8 * BoldItalicUnderline * * * select(inherited font)ArialCourier NewGeorgiaImpactLucida ConsoleTahomaTimes New RomanTrebuchet MSVerdanainheritselect(inherited size)1 (8pt)2 (10pt)3 (12pt)4 (14pt)5 (18pt)6 (24pt)7 (36pt)inherit * * IndentInsert unordered listInsert ordered list * * Align text leftAlign text rightJustifyCenter text * * View HTML * Insert fileInsert image * * Insert hyperlink <div class="col-xs-12 col-sm-9 col-md-10 text-center" id="header01"><h1>Division of Medicare Advantage Operations</h1><h2>Guidance resources for MA, SNP, CHOW/Novations, MA/SNP-Applications, and SARs/Non-Renew/Terminations</h2></div><div style="clear:both;text-align:center;color:red;font-size:20px;"></div> Save Changes Cancel Edit * (inherited font) * Arial * Courier New * Georgia * Impact * Lucida Console * Tahoma * Times New Roman * Trebuchet MS * Verdana * (inherited size) * 1 (8pt) * 2 (10pt) * 3 (12pt) * 4 (14pt) * 5 (18pt) * 6 (24pt) * 7 (36pt) Edit Content Close (Optional) Select a previous version: hsoreide - 11 Jan 2020 10:36 mtegegne - 05 Jan 2018 10:26 hsoreide - 11 Jan 2020 10:36 Apply sectionEditord6d8e88c-f6fb-40bf-b3b1-0d668a782d2c * BoldItalicUnderline * * * select(inherited font)ArialCourier NewGeorgiaImpactLucida ConsoleTahomaTimes New RomanTrebuchet MSVerdanainheritselect(inherited size)1 (8pt)2 (10pt)3 (12pt)4 (14pt)5 (18pt)6 (24pt)7 (36pt)inherit * * IndentInsert unordered listInsert ordered list * * Align text leftAlign text rightJustifyCenter text * * View HTML * Insert fileInsert image * * Insert hyperlink <div class="container-fluid image01" id="banner-level02"><div class="row" id="blue-banner"> </div><div class="row"><img alt="Image of people working" class="img-responsive center-block" height="300" src="/dmaomailbox/content/lmi/images/transparent-1200x300.png" width="1200" /></div><div class="row" id="yellow-banner"> </div></div> Save Changes Cancel Edit * (inherited font) * Arial * Courier New * Georgia * Impact * Lucida Console * Tahoma * Times New Roman * Trebuchet MS * Verdana * (inherited size) * 1 (8pt) * 2 (10pt) * 3 (12pt) * 4 (14pt) * 5 (18pt) * 6 (24pt) * 7 (36pt) Edit Content Close (Optional) Select a previous version: hsoreide - 02 Nov 2021 19:20 hsoreide - 02 Nov 2021 07:43 rdeol - 02 Apr 2020 18:50 mtegegne - 21 Feb 2020 09:19 hsoreide - 17 Jan 2020 16:01 hsoreide - 17 Jan 2020 09:28 hsoreide - 17 Jan 2020 09:25 hsoreide - 16 Jan 2020 11:25 hsoreide - 11 Jan 2020 10:36 hsoreide - 04 Dec 2019 09:24 hsoreide - 04 Dec 2019 09:10 rdeol - 04 Dec 2019 09:02 rdeol - 04 Dec 2019 08:57 rdeol - 04 Dec 2019 08:53 rdeol - 04 Dec 2019 08:49 rdeol - 03 Dec 2019 15:22 hsoreide - 07 Nov 2018 10:28 hsoreide - 02 Nov 2021 19:20 Apply sectionEditora49ff2d7-8550-4e80-ae27-60b5fd8a15ac * BoldItalicUnderline * * * select(inherited font)ArialCourier NewGeorgiaImpactLucida ConsoleTahomaTimes New RomanTrebuchet MSVerdanainheritselect(inherited size)1 (8pt)2 (10pt)3 (12pt)4 (14pt)5 (18pt)6 (24pt)7 (36pt)inherit * * IndentInsert unordered listInsert ordered list * * Align text leftAlign text rightJustifyCenter text * * View HTML * Insert fileInsert image * * Insert hyperlink <div class="container" id="about-section"><div class="row"><div class="col-lg-12 col-sm-12 text-center"><h3>About the DMAO Portal</h3><p><strong>This site serves as a single portal for submitting questions pertaining to various aspects of Division of Medicare Advantage Operations (DMAO) related services, including: Medicare Advantage (MA), Special Needs Plan (SNP), MA/SNP Applications, Change of Ownership (CHOW)/Novations, and Service Area Reductions (SARs)/Non-Renewal (NR)/Terminations.</strong> </p></div></div></div> Save Changes Cancel Edit * (inherited font) * Arial * Courier New * Georgia * Impact * Lucida Console * Tahoma * Times New Roman * Trebuchet MS * Verdana * (inherited size) * 1 (8pt) * 2 (10pt) * 3 (12pt) * 4 (14pt) * 5 (18pt) * 6 (24pt) * 7 (36pt) Edit Content Close (Optional) Select a previous version: mtegegne - 21 Feb 2020 09:19 hsoreide - 04 Dec 2019 09:21 hsoreide - 02 Dec 2019 13:29 dmartinez - 02 Dec 2019 07:05 dmartinez - 02 Dec 2019 07:04 dmartinez - 02 Dec 2019 07:04 dmartinez - 02 Dec 2019 07:03 dmartinez - 02 Dec 2019 07:03 dmartinez - 02 Dec 2019 07:03 dmartinez - 02 Dec 2019 07:03 dmartinez - 02 Dec 2019 07:02 dmartinez - 02 Dec 2019 07:02 dmartinez - 02 Dec 2019 07:02 dmartinez - 02 Dec 2019 07:01 hsoreide - 07 Nov 2018 10:27 mtegegne - 21 Feb 2020 09:19 Apply sectionEditore71c5a56-4f39-4564-b3a7-f3bdbabf9e9b * BoldItalicUnderline * * * select(inherited font)ArialCourier NewGeorgiaImpactLucida ConsoleTahomaTimes New RomanTrebuchet MSVerdanainheritselect(inherited size)1 (8pt)2 (10pt)3 (12pt)4 (14pt)5 (18pt)6 (24pt)7 (36pt)inherit * * IndentInsert unordered listInsert ordered list * * Align text leftAlign text rightJustifyCenter text * * View HTML * Insert fileInsert image * * Insert hyperlink <div class="container" id="toc-section"> <div class="row"><div class="col-md-4 col-sm-6 col-xs-12 text-center" id="ma"><a href="/dmaomailbox?PageFilter=ma"><img alt="Medicare Advantage (MA)" data-holder-rendered="true" height="155" src="/dmaomailbox/content/lmi/images/MA.jpg" width="270" /></a> <h3><a href="/dmaomailbox?PageFilter=ma">Medicare Advantage Operations (MA)</a></h3></div> <div class="col-md-4 col-sm-6 col-xs-12 text-center" id="sar"><a href="/dmaomailbox?PageFilter=nonrenew"><img alt="SARs/Non-Renew/Terminations" data-holder-rendered="true" height="155" src="/dmaomailbox/content/lmi/images/SAR.jpg" width="270" /></a> <h3><a href="/dmaomailbox?PageFilter=nonrenew">SARs/Non-Renew/Terminations</a></h3></div> <div class="col-md-4 col-sm-6 col-xs-12 text-center" id="snp"><a href="/dmaomailbox?PageFilter=src"><img alt="Special Needs Plans (SNPs)" data-holder-rendered="true" height="155" src="/dmaomailbox/content/lmi/images/SNP.jpg" width="270" /></a> <h3><a href="/dmaomailbox?PageFilter=src">Special Needs Plan (SNP)</a></h3></div><div class="col-md-4 col-sm-6 col-xs-12 text-center" id="ma-snp"><a href="/dmaomailbox?PageFilter=maa"><img alt="MA/SNP Applications" data-holder-rendered="true" height="155" src="/dmaomailbox/content/lmi/images/MA-SNP.jpg" width="270" /></a> <h3><a href="/dmaomailbox?PageFilter=maa">MA/SNP Applications</a></h3></div> <div class="col-md-4 col-sm-6 col-xs-12 text-center" id="chow"><a href="/dmaomailbox?PageFilter=chow"><img alt="Change of Ownership(CHOW)" data-holder-rendered="true" height="155" src="/dmaomailbox/content/lmi/images/CHOW.jpg" width="270" /></a> <h3><a href="/dmaomailbox?PageFilter=chow"> Change of Ownership(CHOW)<br />/Novations </a> </h3></div></div></div> Save Changes Cancel Edit * (inherited font) * Arial * Courier New * Georgia * Impact * Lucida Console * Tahoma * Times New Roman * Trebuchet MS * Verdana * (inherited size) * 1 (8pt) * 2 (10pt) * 3 (12pt) * 4 (14pt) * 5 (18pt) * 6 (24pt) * 7 (36pt) Edit Content Close (Optional) Select a previous version: mtegegne - 04 Jan 2018 11:42 mtegegne - 04 Jan 2018 11:42 Apply sectionEditor42b31a58-d69a-499f-a9eb-5f4fb579436f * BoldItalicUnderline * * * select(inherited font)ArialCourier NewGeorgiaImpactLucida ConsoleTahomaTimes New RomanTrebuchet MSVerdanainheritselect(inherited size)1 (8pt)2 (10pt)3 (12pt)4 (14pt)5 (18pt)6 (24pt)7 (36pt)inherit * * IndentInsert unordered listInsert ordered list * * Align text leftAlign text rightJustifyCenter text * * View HTML * Insert fileInsert image * * Insert hyperlink <div class="container" id="line-divider02"><div class="row"><div class="col-lg-12"><div class="line-break"> </div></div></div></div> Save Changes Cancel Edit * (inherited font) * Arial * Courier New * Georgia * Impact * Lucida Console * Tahoma * Times New Roman * Trebuchet MS * Verdana * (inherited size) * 1 (8pt) * 2 (10pt) * 3 (12pt) * 4 (14pt) * 5 (18pt) * 6 (24pt) * 7 (36pt) Edit Content Close (Optional) Select a previous version: rdeol - 03 Dec 2019 15:22 mtegegne - 08 Jan 2018 18:18 rdeol - 03 Dec 2019 15:22 Apply sectionEditorb259eb2e-de29-44bc-aaea-a4567f7419b3 * BoldItalicUnderline * * * select(inherited font)ArialCourier NewGeorgiaImpactLucida ConsoleTahomaTimes New RomanTrebuchet MSVerdanainheritselect(inherited size)1 (8pt)2 (10pt)3 (12pt)4 (14pt)5 (18pt)6 (24pt)7 (36pt)inherit * * IndentInsert unordered listInsert ordered list * * Align text leftAlign text rightJustifyCenter text * * View HTML * Insert fileInsert image * * Insert hyperlink <div class="container" id="question-section"><div class="row"><div class="col-lg-12 col-sm-12 text-center" id="other-resources"><a class="collapsed" data-parent="#detail-panel-group" data-target="#other-resources-detail-section" data-toggle="collapse"> <img alt="Question" class="img-circle if-collapsed" height="93" src="/dmaomailbox/content/lmi/images/resources01.png" width="93" /><img alt="Question" class="img-circle if-not-collapsed" height="93" src="/dmaomailbox/content/lmi/images/minus_icon.png" width="93" /></a> <h3><a class="collapsed" data-parent="#detail-panel-group" data-target="#other-resources-detail-section" data-toggle="collapse">Additional Resources</a> </h3><p>Resources if your questions do not relate to MA, SNP, MA/SNP Applications, CHOW/Novations, and SARs/Non-Renew/Terminations.</p></div></div></div> Save Changes Cancel Edit * (inherited font) * Arial * Courier New * Georgia * Impact * Lucida Console * Tahoma * Times New Roman * Trebuchet MS * Verdana * (inherited size) * 1 (8pt) * 2 (10pt) * 3 (12pt) * 4 (14pt) * 5 (18pt) * 6 (24pt) * 7 (36pt) Edit Content Close (Optional) Select a previous version: mtegegne - 04 Jan 2018 13:44 mtegegne - 04 Jan 2018 13:44 Apply sectionEditor3b7c70ab-042f-468a-a62b-6bd849c3256e * BoldItalicUnderline * * * select(inherited font)ArialCourier NewGeorgiaImpactLucida ConsoleTahomaTimes New RomanTrebuchet MSVerdanainheritselect(inherited size)1 (8pt)2 (10pt)3 (12pt)4 (14pt)5 (18pt)6 (24pt)7 (36pt)inherit * * IndentInsert unordered listInsert ordered list * * Align text leftAlign text rightJustifyCenter text * * View HTML * Insert fileInsert image * * Insert hyperlink <h3 class="panel-title pull-left">If you have questions related to any of the following areas, please use the email addresses or URLs provided below: </h3> Save Changes Cancel Edit * (inherited font) * Arial * Courier New * Georgia * Impact * Lucida Console * Tahoma * Times New Roman * Trebuchet MS * Verdana * (inherited size) * 1 (8pt) * 2 (10pt) * 3 (12pt) * 4 (14pt) * 5 (18pt) * 6 (24pt) * 7 (36pt) Edit Content Close (Optional) Select a previous version: mtegegne - 04 May 2018 14:13 mtegegne - 04 May 2018 14:13 Apply sectionEditor5b5bd8fe-9f76-4b0f-8cb7-196265ca59af * BoldItalicUnderline * * * select(inherited font)ArialCourier NewGeorgiaImpactLucida ConsoleTahomaTimes New RomanTrebuchet MSVerdanainheritselect(inherited size)1 (8pt)2 (10pt)3 (12pt)4 (14pt)5 (18pt)6 (24pt)7 (36pt)inherit * * IndentInsert unordered listInsert ordered list * * Align text leftAlign text rightJustifyCenter text * * View HTML * Insert fileInsert image * * Insert hyperlink <div id="detailsContainer8"><div class="ma-details-row"><p>Encounter Data, please submit an email to <a href="mailto:encounterdata@cms.hhs.gov?subject=Encounter Data">encounterdata@cms.hhs.gov</a></p></div><div class="ma-details-row"><p>Risk Adjustment, please submit an email to <a href="mailto:riskadjustment@cms.hhs.gov?subject=Risk Adjustment">riskadjustment@cms.hhs.gov</a></p></div><div class="ma-details-row"><p>Marketing, please submit an email to <a href="mailto:marketing@cms.hhs.gov?subject=Marketing">Marketing@cms.hhs.gov</a></p></div><div class="ma-details-row"><p>Part C and Part D Star Ratings, please submit an email to <a href="mailto:PartCandDStarRatings@cms.hhs.gov?subject=Part C and Part D Star Ratings">PartCandDStarRatings@cms.hhs.gov</a></p></div><div class="ma-details-row"><p>HEDIS, please submit an email to <a href="mailto:hedisquestions@cms.hhs.gov?subject=HEDIS">hedisquestions@cms.hhs.gov</a></p></div><div class="ma-details-row"><p>Part C Quality, including the Model of Care, please submit question via: <a href="https://dpap.lmi.org/">https://dpap.lmi.org/</a> </p></div><div class="ma-details-row"><p>Application Crosswalk Exceptions questions/requests, please submit an email to <a href="mailto:HPMScrosswalkexceptions@cms.hhs.gov?subject=Application Crosswalk Exceptions questions">HPMScrosswalkexceptions@cms.hhs.gov</a></p></div><div class="ma-details-row"><p>Medicare Advantage Benefit questions, please submit an email to <a href="https://mabenefitsmailbox.lmi.org/">https://mabenefitsmailbox.lmi.org</a></p></div><div class="ma-details-row"><p>HPMS access, please submit any questions or requests to <a href="mailto:hpms_access@cms.hhs.gov?subject=HPMS Access">hpms_access@cms.hhs.gov</a></p></div><div class="ma-details-row"><p>Technical HPMS questions (e.g., PBP download, plan creation, bid upload), please contact the HPMS Help Desk at 1-800-220-2028 or <a href="mailto:hpms@cms.hhs.gov?subject=Technical HPMS questions">hpms@cms.hhs.gov</a></p></div><div class="ma-details-row"><p>Out-of-Pocket Cost (OOPC) model technical questions, please submit an email to <a href="mailto:OOPC@cms.hhs.gov?subject=Out-of-Pocket Cost (OOPC) model technical questions">OOPC@cms.hhs.gov</a></p></div><div class="ma-details-row"><p>Part D policy questions, please submit an email to <a href="mailto:partdpolicy@cms.hhs.gov?subject=Part D Policy question">partdpolicy@cms.hhs.gov</a> </p></div><div class="ma-details-row"><p>Part D benefits questions, please submit an email to <a href="mailto:partdbenefits@cms.hhs.gov?subject=Part D Benefit question">partdbenefits@cms.hhs.gov</a> </p></div><div class="ma-details-row"><p>Bid Pricing Tool (BPT) questions, please submit an email to <a href="mailto:actuarial-bids@cms.hhs.gov?subject=Bid Pricing Tool (BPT) questions">actuarial-bids@cms.hhs.gov</a></p></div><div class="ma-details-row"><p>For Part C Medicare Advantage policy questions, please submit an email to: <a href="https://dpap.lmi.org/DPAPMailbox/">https://dpap.lmi.org/DPAPMailbox/</a> </p></div><div class="ma-details-row"><p>Medicare Medicaid Program, please submit an email to <a href="mailto:mmcocapsmodel@cms.hhs.gov?subject=Medicare Medicaid Program">mmcocapsmodel@cms.hhs.gov</a></p></div><div class="ma-details-row"><p>Part C Appeals or Medicare Managed Care Manual Chapter 13, please submit an email to <a href="mailto:Part_C_Appeals@cms.hhs.gov?subject=Part C Appeals or Medicare Managed Care Manual Chapter 13">Part_C_Appeals@cms.hhs.gov</a></p></div><div class="ma-details-row"><p>For Medicare Advantage Value-Based Insurance Design (MA-VBID) model questions, please submit an e-mail to: <span style="font-size:12px;background:#fdfcd0;color:#1f497d;"><a href="mailto:MAVBID@cms.hhs.gov">MAVBID@cms.hhs.gov</a></span></p></div></div> Save Changes Cancel Edit