HPMS definition
Examples of HPMS in a sentence
Current and prospective Medicare health plans submit applications, information about Provider Networks, plan benefit packages, formularies, and other information via HPMS.
The Contractor must notify CMS and EOHHS in HPMS of all other changes no later than five business days prior to the effective date of such change.
The MCO must submit materials including Medicare and Part D materials identified by CMS via HPMS where the STATE and CMS will concurrently review and approve the material.
The Contractor must notify CMS and EOHHS in HPMS no later than thirty (30) calendar days prior to any significant change to the manner in which services are rendered to Enrollees, including but not limited to reprocurement or termination of a First Tier, Downstream, and Related Entity pursuant to Appendix D.
The exceptions to this process are materials identified in HPMS as “file and use” including the Provider and Pharmacy Directories.
MCO shall submit the “file and use” materials to the State for approval; and for CMS, follow CMS instructions for submission via HPMS.
The specific geographic area of Texas designated in the CMS HPMS, and as referenced in Appendix H, for which the STAR+PLUS MMP agrees to provide Covered Services to all Enrollees who select or are passively enrolled with the STAR+PLUS MMP.
For MSHO, the MCO will submit the materials through CMS’s HPMS system where the STATE will review concurrently with CMS.
The Contractor must notify CMS and EOHHS through HPMS of all changes affecting the key functions for the delivery of care, the administration of its program, or its performance of Contract requirements.
Contractors must submit all materials that are consistent with the definition of marketing materials at 42 C.F.R. § 422.2260, whether prospectively reviewed or not, via the CMS HPMS Marketing Module.