Medicare Advantage and Prescription Drug Plans December 28 ...

C: Monthly Schedule
Plan Communications User Guide Appendices, Version 6.3
The following pages contain the 2011 Plan Medicare Advantage and Prescription Drug System
(MARx) Monthly Schedule, which provides dates for the following:
Plan Data Due
Down Days
Availability of Monthly Reports
Due Date for Certification of Enrollment, Payment, and Premium Reports
Payments Due to Plans
Holidays
Note: The Daily Transaction Reply Report (DTRR), is not indicated on this schedule because it is
a daily report.
This calendar is also available as a single document in the Medicare Advantage and Prescription
Drug (MAPD) Help Desk Web site downloads section: http://www.cms.gov/mapdhelpdesk/. Both
color and text 508 compliant versions of this schedule are available at the above link.
C.1 MARx Plan Payment Processing Schedule Description - Calendar Year 2013
It is vital that everyone involved in the Medicare enrollment and payment operations of the
contract is aware of target dates schedule attached to this description. The schedule includes:
(1) PLAN DATA DUE - This is the last day for Plans to transmit records to the CMS Data
Center for processing in the month. Plans must complete the transmission by the close of
business (8 p.m. ET) on the date noted.
(2) PAYMENT DUE PLANS - This is the date that CMS deposits the CMS monthly payment
to the Plans; all deposits are made to arrive on the first calendar day of the month unless
the first day falls on a weekend or a Federal holiday. In this case, the deposit arrives on the
last workday prior to the first of the month.
Note: The January deposit is the first business day of the month.
(3) MONTHLY REPORTS AVAIL - This is the date all the CMS monthly reports are
available for downloading from the mailbox or received in the system.
Note: These reports are not mailed; the Plan must download them to receive them!
(3) ANNUAL ELECTION PERIOD BEGINS AND ENDS - The Annual Election Period (AEP)
is October 15 through December 7 every year. Elections made during the AEP are
effective January 1 of the following year.
(4) CERTIFICATION DUE - This is the date by which Plans must certify the accuracy of the
enrollment information of the MARx Report. Plans must send the Certification to the
Retroactive Processing Contractor.
(5) APPROVED RETROS TO CMS - Any records processed as batch retroactive files must
arrive at CMS by noon on the date shown, along with the appropriate paperwork approved
by CMS.
December 28, 2012 C-1 Monthly Schedule