CMS Model Materials—Changes for CY24
CMS issued the CY24 Model Materials last week
Released Model Materials
include Annual Notice of Change (ANOC); Evidence of Coverage (EOC); ANOC Errata Notice; EOC Errata Notice; Provider Directory; Part D Explanation of Benefits (EOB); Excluded Provider Model, Formulary (Comprehensive and Abridged); Low Income Subsidy (LIS) Rider; Pharmacy Directory; LIS Premium Summary Table; Prescription Transfer Letter; Notice of Formulary Change; Transition Letter; and (optional) Member Request for Refusal Notice.
View the CY24 Models & standardized documents here: https://www.cms.gov/Medicare/Health-Plans/ManagedCareMarketing/MarketngModelsStandardDocumentsandEducationalMaterial and https://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovContra/Part-D-Model-Materials
The model materials include multiple finalized regulations and considerable edits related to the Inflation Reduction Act (IRA) Cost Sharing Maximum Reports for Part D Sponsors (e.g., insulin coverage). Otherwise, most changes are for clarification, grammar, and formatting edits. Plans are encouraged to review the updated models and HPMS memo for specifics.
As a reminder, keep an eye out for additional corrections typically released in July!
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