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Submission: On May 13 via manual from US — Scanned from DE
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* MAPD Help Desk
MAPD HELP DESK
PAGES IN THIS SECTION
* * * Access to CMS data & application
* * MAPD Help Desk
* * MAPD/MARx Calendars and Schedules
* MAPD Help Desk FAQs
* Plan Connectivity Preparation
* MAPD Plan Communications User Guide (PCUG)
* MAPD State User Guide (SUG)
* Payment Recovery Information System Medicare Parts C & D Plan Portal
(PMPP) - formerly known as PRIS Plan Portal
* Electronic Retroactive Processing Transmission (eRPT)
* Access to CMS Systems and Identity Management (IDM) System
* Software Release Announcements
* Plan Communications Archive
* Helpful Links
MAPD Help Desk
Medicare Advantage Prescription Drug (MAPD) Help Desk offers technical and
functional support for the Medicare Advantage Health and Prescription Drug
Coverage (Parts C and D) Programs. This insurance coverage is provided by:
* Medicare Advantage (MA) Plans.
* Medicare Advantage Prescription Drug (MAPD) Plans.
* Medicare Prescription Drug Plans (PDPs)
* Third parties conducting data exchanges with CMS on behalf of MA/MAPD/PDPs.
Technical Support for Plan Connectivity and Access:
* Startup, testing and implementation for connectivity to CMS systems.
* Ongoing operational support for data exchanges and system problems.
* IDM - Identity Management for CMS system access and password reset inquires
and issues.
MAPD Functional Support for Inquires and Issues:
* Coordination with CMS for beneficiary enrollment, disenrollment, payment and
premium topics.
* MARx UI - Medicare Advantage Prescription Drug User Interface.
* eRPT - Electronic Retroactive Processing transmission.
* ELMO - Eligibility Enrollment Medicare Online.
* COB - Coordination of Benefits files.
* PRIS Plan Portal - Payment Recovery Information System Medicare Parts C & D
Plan Portal.
For helpful information about the following topics, please click the link:
* Remote Identity Proofing (RIDP) (PDF)
* Common MARx UI Login Errors (PDF)
* Registering MFA Devices Quick Reference Guide (QRG) (PDF)
Important Notice: MAPD Help Desk Information Request Documents
* Please use the “MAPD Help Desk Information Request Form” when requesting
information from the MAPD Help Desk. When supplying beneficiary information
such as an SSN (Social Security Number) or an MBI (Medicare Beneficiary
Identifier), the “SSN- MBI Spreadsheet” is required for any enrollment,
entitlement, payment, or premium issues, and the “End Stage Renal Disease
(ESRD) SSN- MBI template” is required for any ESRD status update requests.
Having the information in these documents will help facilitate accurate and
timely processing of your request.
Please Note: If you are emailing in the spreadsheets, they are to be password
protected (PDF) to ensure they are following the CMS Security Policy for
PHI/PII.
All documents are provided in the Downloads section in the ZIP file entitled
“MAPD Help Desk Information Request Documents”.
BULLETIN BOARD OF CURRENT PLAN COMMUNICATIONS
* April 30, 2024 – February Plan Communications User Guide v17.7 Now Available
The Centers for Medicare & Medicaid Services has posted a new version (17.7) of
the Plan Communications User Guide (PCUG) to the MAPD Help Desk
website. Revisions to the Guide include updating Transaction Reply Code (TRC)
131 to include transaction code 54 in section 3.8 Eligibility and Enrollment.
Please see the Change Log at the beginning of the Guide for a detailed list of
the updates and reference the MAPD Plan Communications User Guide page for the
new PCUG.
* February 29, 2024 – February State User Guide v12.0 Now Available
The Centers for Medicare & Medicaid Services has posted a new version (12.0) of
the MAPD State User Guide to the MAPD Help Desk website. The guide contains a
new SEP Status column to the Entitlement Information section and new Table 3-8:
SEP Status Codes. Also, 2024 IRA LIS changes were made to the MMA Response File
Detail Layout. Please reference the MAPD State User Guide (SUG) page for the new
Guide: MAPD State User Guide (SUG) | CMS
* February 29, 2024 – February Plan Communications User Guide v17.6 Now
Available
The Centers for Medicare & Medicaid Services has posted a new version (17.6) of
the Plan Communications User Guide (PCUG) to the MAPD Help Desk website.
Updates to the Guide include revisions to item 19 in the MARx Batch Input Detail
- Disenrollment Transaction - TC 51 or 54 layout and item 26 in the MARx Batch
Input Detail - Enrollment Transaction - TC 61 layout and the Daily Transaction
Reply Report (DTRR) to include availability. Changed TRC-Type 404R to reflect
402A in the Eligibility and Enrollment TRC Grouping and added new TRC 406
PLAN/SCC SERVICE AREA REDUCTION. Updated Figure 8-22 Beneficiary: Eligibility
(M232) Screen (with Eligibility Information) screenshot and changed Exception
Condition to SEP Status column and description in Table 8-9: Beneficiary:
Eligibility (M232) Field Description table. Also, added new section 8.3.16
Status Detail (M257), Figure 8-44: Status Detail Part A (M257) Screen, Figure
8-45: Status Detail Part A (M257) Screen and Table 8-25: Status Detail Part A
and B (M257) Field Description. Please see the Change Log at the beginning of
the Guide for a detailed list of the updates and reference the MAPD Plan
Communications User Guide page for the new PCUG.
* January 31, 2024 – January 31, 2024 Plan Communications User Guide v17.5 Now
Available
The Centers for Medicare & Medicaid Services has posted a new version (17.5) of
the Plan Communications User Guide (PCUG) to the MAPD Help Desk website.
Updates to the Guide include revisions to SEP Reason Code 94 in the Election
Type “S – Special Election Period (SEP)” Reason Code Table, an updated
screenshot of Figure 8-22: Beneficiary: Eligibility (M232) Screen (with
Eligibility Information), updates to the Entitlement Status column description
and the addition of “Exceptional Condition SEP column” under Entitlement
Information in the Beneficiary: Eligibility (M232) Field Description table.
Please see the Change Log at the beginning of the Guide for a detailed list of
the updates and reference the MAPD Plan Communications User Guide page for the
new PCUG.
* January 4, 2024 – Updated November 2023 Plan Communications User Guide v17.4
Now Available
The Centers for Medicare & Medicaid Services has posted an update to version
17.4 of the Plan Communications User Guide, which is now available on the MAPD
Help Desk website. The revised version of the guide has the removal of heading
7.8 – Long Term Institutionalized (LTI) Resident Report File in the Outbound
Files and Miscellaneous section. Please see the Change Log at the beginning of
the Guide for a detailed list of the updates and reference the MAPD Plan
Communications User Guide page for the revised PCUG.
* December 21, 2023 - MAPD Help Desk Holiday Availability Schedule
Please be advised that the MAPD Help Desk’s availability for the upcoming
holiday schedule is as follows:
* In observation of Christmas Eve, the MAPD Help Desk will be open from 8:00 AM
- 4:00 PM ET on Friday, December 22.
* In observation of Christmas Day, the MAPD Help Desk will be closed on Monday,
December 25.
* In observation of New Year’s Eve, the MAPD Help Desk will be open from 8:00
AM - 4:00 PM ET on Friday, December 29.
* In observation of New Year’s Day, the MAPD Help Desk will be closed on
Monday, January 1.
* November 30, 2023 – November 2023 Plan Communications User Guide v17.4 Now
Available
The Centers for Medicare & Medicaid Services has posted a new version (17.4) of
the Plan Communications User Guide (PCUG) to the MAPD Help Desk website.
Updates to the Guide include new Transaction Reply Code (TRC) 403-F and Special
Election Period (SEP) reason codes: 42 & 43. Also, SEP reason codes: 23, 34, 95
& 96 were updated and the heading to the Election Type “S – Special Election
Period (SEP)” Reason Code Table to reflect MA/MA-PD. Please see the Change Log
at the beginning of the Guide for a detailed list of the updates and
reference the MAPD Plan Communications User Guide page for the new PCUG.
* November 20, 2023 - MAPD Help Desk Closed on Thanksgiving Day, Thursday,
November 23, 2023
Please be advised that the MAPD Help Desk will be closed on Thursday, November
23, 2023 due to the Thanksgiving holiday. The MAPD Help Desk will be open from
8:00 AM until 4:00 PM (ET) the following day on Friday, November 24, 2023. The
MAPD Help Desk will resume operating under its usual hours of 8:00 AM through
6:00 PM (ET) on Monday, November 27, 2023.
* October 31, 2023 – October 2023 Plan Communications User Guide v17.3 Now
Available
The Centers for Medicare & Medicaid Services has posted a new version (17.3) of
the Plan Communications User Guide (PCUG) to the MAPD Help Desk website.
Updates to the Guide include the addition of codes 345, 346 & 347 to the Daily
Transition Reply Report (DTRR) Detail Record, updated verbiage to codes 289,
345, 346 & 347 in the Eligibility and Enrollment Transaction Reply Codes table
and an updated Payment Information form. Please see the Change Log at the
beginning of the Guide for a detailed list of the updates and reference the MAPD
Plan Communications User Guide page for the new PCUG.
* August 31, 2023 – Year 2024 MARx Plan Monthly Calendar Now Available
The MARx Plan Monthly Calendar has been updated to reflect 2024 Plan data due
dates, report release dates, enrollment certification due dates, and file
transmissions. The 2024 MARx calendar is available for Plans to review via
the MAPD/MARx Calendars and Schedules link.
At the end of each year, the MAPD Help Desk issues the MARx Monthly Calendar for
the coming year. The calendar is available in the Downloads section in both a
color and plain text format and identifies the following dates:
* CMS Holidays
* MARx Monthly Reports Available
* Plan Submission Cut-Off
* Payment due to Plan
* Annual Election Period Begin and End dates
* Plan Submission Cut-Off
* Payment due to Plan
* MA Full-Dual Notification File (transmitted only to MA Organizations and Cost
Plans)
* Biweekly LIS Report
* NoRx File
Quick Reference Guide (QRG) MAPD Help Desk Common Issues
The MAPD Help Desk receives thousands of inquiries each month and in an effort
to better assist our growing user community, we have consolidated information
regarding issues we most commonly support. Please refer to the Quick Reference
Guide of MAPD Help Desk Common Issues in the download section below which
provides users with easy access to common issues and solutions in a quick and
easy format.
Topics covered include:
* Initial Setup
* Remote Identity Proofing (RIDP)
* Account Issues
* Important Notice: MAPD Help Desk Information Request Documents
Please use the MAPD Help Desk Information Request Form, and when applicable the
Health Insurance Claim Number (HICN) – Medicare Beneficiary Identifier (MBI)
Template, and the End Stage Renal Disease (ESRD) Template when requesting
information from the MAPD Help Desk. Use of the form and spreadsheets will help
facilitate accurate and timely processing of your request. Please note that if
emailing the spreadsheets they are to be password protected to ensure they are
following the CMS Security Policy for PHI/PII.
All documents are provided in the Downloads section in the ZIP file entitled
MAPD Help Desk Information Request Documents.
REGULARLY SCHEDULED MAINTENANCE
As a reminder, the MARx UI may be unavailable due to Regularly Scheduled
Maintenance during the following timeframes:
Daily: 11:00 PM to 12:30 AM ET.
Weekly: Sunday evening at 6:00 PM to Monday morning at 6:00 AM ET.
Also, GENTRAN/TIBCO may be unavailable due to Weekly System Backup during the
following timeframe:
Weekly: Sunday Morning at 1:00 AM to approximately 3:00 AM ET.
HOLIDAY HOURS
The MAPD Help Desk is closed on New Year’s Day, Memorial Day, Independence Day,
Labor Day, Thanksgiving, and Christmas.
MARX UI SUBMISSION CUT OFF DATES
Please reference the following table for the upcoming 2024 Plan Data Due dates
for MARx transaction submissions. Cutoff for the submission of MARx transaction
files is 8:00 PM (Eastern Time) on the dates listed below:
Payment MonthPlan Data Due DateJanuary 2024December 2, 2023February 2024January
5, 2024March 2024February 2, 2024April 2024March 8, 2024May 2024April 5,
2024June 2024May 10, 2024July 2024June 7, 2024August 2024July 5, 2024September
2024August 9, 2024October 2024September 6, 2024November 2024October 4,
2024December 2024November 8, 2024January 2025December 6, 2024February
2025January 3, 2025
CONTACTING THE MAPD HELP DESK
Phone: 1-800-927-8069
E-mail: mapdhelp@cms.hhs.gov
Hours of Operation: Monday-Friday 8:00 AM to 6:00 PM ET.
DOWNLOADS
* Update to Reporting Beneficiaries Identified within a Drug Management Program
(DMP) in MARx (PDF)
* Quick Reference Guide (QRG) MAPD Help Desk Common Issues (PDF)
* MAPD Help Desk Information Request Documents.zip (ZIP)
* How to Password Protect or Encrypt a Document Guide (PDF)
* Inflation Reduction Act (IRA) Low Income Subsidy (LIS) FAQs (PDF)
* CMS Payment Information Form - Certified (PDF)
Page Last Modified:
05/10/2024 09:27 AM
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