Medicare Advantage and Prescription Drug Plans December 28 ...

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Plan Communications User Guide Appendices, Version 6.3 B: CMS Central Office Contact Information This appendix contains consolidated contact information for Plans to reference when they need assistance with questions or issues on information contained in the Plan Communications User Guide (the Guide) or on other issues or topics as summarized in the tables below. Note: For questions or issues on payment or premium information contained in this guide or on any of the topics listed below, Plans should contact their Center for Medicare and Medicaid Services (CMS) Central Office (CO) Health Insurance Specialist in the Division of Payment Operations (DPO) for their particular region. See DPO contact list by region on page B-2 below. Table B-1: DPO Central Office Contact Information Full Dual Eligibility; Business Questions Only Dual eligibility in general Rules for auto assignment Rules for passive enrollment Info on Special Needs Plan (SNP) - NOT the files Late Enrollment Penalty (LEP); Business Only CMS Plan Reporting Requirements; Not file format Reports Report Contents, Timing, and Payment; Medicare Advantage and Prescription Drug System (MARx) Full Dual Eligibility; (Business Only) Plan Payments Calculation of payment Delivery of payment Payment errors Premium calculations Automated Plan Payment System (APPS) operation and APPS reports Actual payments going to the Plans Payment rules Payment operations Interim payments Monthly Membership Report (MMR) Center for Medicare (CM) Plan Payment Letters All APPS Payment Reports; (Business Only) Plan Communications User Guide December 28, 2012 B-1 CMS Central Office Contact Information
Plan Communications User Guide Appendices, Version 6.3 B.1 CMS Central Office Table B-2: Division of Payment Operations (DPO) Representatives Region Contact Telephone Number E-mail Address 1. Boston and Kansas City 2. New York, Demos/PACE Terry Williams (410) 786-0705 Terry.Williams@cms.hhs.gov William Bucksten (410) 786-7477 William.Bucksten@cms.hhs.gov 3. Philadelphia James Krall (410) 786-6999 James.Krall@cms.hhs.gov 4. Atlanta Louise Matthews (410) 786-6903 Louise.Matthews@cms.hhs.gov 5. Chicago Mary Stojak (410) 786-6939 Mary.Stojak@cms.hhs.gov 6. Dallas Michelle Page (410) 786-6937 Michelle.Page@cms.hhs.gov 7. San Francisco Kim Miegel (410) 786-3311 Kim.Miegel@cms.hhs.gov and Denver 8. Seattle Shawanda Perkins 410-786-7412 Shawanda.Perkins@cms.hhs.gov 9. DPO Director John Scott (410) 786-3636 John.Scott@cms.hhs.gov B.2 Payment Information Form Government vendor organizations with Medicare contracts receive payment from the Department of Treasury through an Electronic Funds Transfer (EFT) program. On the expected payment date, government vendor receive payments as direct deposits into corporate accounts at financial institutions. Additionally, CMS must have the Employee Identification Number (EIN)/Tax Identification Number (TIN) and associated name as registered with the Internal Revenue Service (IRS). December 28, 2012 B-2 CMS Central Office Contact Information
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Medicare Advantage and Prescription Drug Plans December 28 ...

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