Medicare Advantage and Prescription Drug Plans December 28 ...

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ID# Transmittal Yearly Report 81 82 Long-Term Institutionalized Resident Report PCUG Record Layout – F.26 No Premium Due Data File PCUG Record Layout – F.30 Plan Communications User Guide Appendices, Version 6.3 Description The Long-Term Institutionalized (LTI) Resident Report provides Part D sponsors a list of their Beneficiaries who are LTI residents during July and January of each year. This report contains basic information on the Beneficiaries and their institutions (Skilled Nursing Home or Nursing Home). The no premium due data file reports members that had a Part C premium, but will no longer have the Part C premium in the upcoming year. This data file is produced during MARx end of year processing. Responsible System Type Freq. Dataset Naming Conventions MDS Report Twice Yearly MARx Data File Yearly Gentran Mailbox/TIBCO MFT Internet Server: P.Rxxxxx.LTCRPT.Dyymmdd.Thhm msst.pn Connect:Direct (Mainframe): zzzzzzzz.Rxxxxx.LTCRPT.Dyymmd d.Thhmmsst Connect:Direct (Non-Mainframe): [directory]Rxxxxx.LTCRPT.Dyymm dd.Thhmmsst Gentran Mailbox/TIBCO MFT Internet Server: P.Rxxxxx.SPCLPEX.Dyymmdd.Thh mmsst.pn Connect:Direct (Mainframe): zzzzzzzz.Rxxxxx.SPCLPEX.Dyymm dd.Thhmmsst Connect:Direct (Non-Mainframe): [directory]Rxxxxx.SPCLPEX.Dyym mdd.Thhmmsst December 28, 2012 K-18 All Transmissions Overview
Plan Communications User Guide Appendices, Version 6.3 L: MA Plan Connectivity Checklist Getting Started or N/A # Task Checkpoint Notes or N/A or N/A Security and Access 1. Obtain a Contract Number from CMS/HPMS Once completed, Task #4 may be initiated. 2. Enter Connectivity Data into HPMS Plan Connectivity Data Module (Plans are required to mail/fax completed forms to MAPD Help Desk) 3. Complete T1/Connect:Direct information in the PCD module 1. CMS Connect:Direct data entry into HPMS 2. CMS SPOE ID Request form Must be started at least 6 weeks prior to target connectivity testing date. Contract #: or N/A # Task Checkpoint Notes or N/A or N/A 4. Submit EPOC Designation Letter to CMS After completion of Task #1. 5. EPOC registered in IACS (Allow 5 business days once EPOC letter is submitted before registering in IACS) 6. EPOC approval received from CMS 7. User/Submitter(s) registered in IACS for Enrollment, BEQ and ECRS 8. User/Representative(s) registered in IACS for Enrollment, BEQ and ECRS After completion of Task #4. After EPOC registration is complete. After EPOC registration is complete. 9. User/Submitter(s) registered in IACS for PDE/RAPS Gentran/TIBCO MFT Submitters only. May be completed the same time as Task #7 or at a later date. Connectivity – Setup Note: Plans perform either Task #10 or Task #11. or N/A or N/A or N/A or N/A or N/A # Task Checkpoint Notes 10. Each item listed in this Task is required by Plans submitting data via Connect:Direct. Set up T1/Connect:Direct to CMS: 1. Contact AT&T or an AT&T reseller to establish connectivity to CMS via AGNS. 2. Verify access to CMS via AGNS 3. High-level qualifier and/or security designations verified as accessible to CMS. 4. Obtain Connect:Direct Software from Sterling Commerce. Must be started at least 6 weeks prior to target connectivity testing date. December 28, 2012 L-1 MA Plan Connectivity Checklist
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I.3 Obsolete Transaction Reply Code
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