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Provider Manual

Medicare Advantage Part D Reporting Requirements

Last Updated on January 24, 2019

Part D reporting requirements – As a Medicare Advantage Part D Plan, Security Health Plan is required to report to CMS data elements that CMS will use to monitor the prescription drug benefit provided to Medicare beneficiaries. Security Health Plan shall submit Part D drug data in the following areas: Access to Extended Day Supplies at Retail Pharmacies; Appeals; Drug Benefit Analyses; Exceptions; Generic Drug Utilization; Grievances; Licensure and Solvency; Medication Therapy Management Program; Pharmacy & Therapeutics Committees/Provision of Part D Functions; Retail Pharmacy Access; Transition; Vaccines; Discounts and Other Price Concessions; Home Infusion Pharmacy Access; LTC Pharmacy Access; and Pharmaceutical Manufacturer Rebates.