CMS Model Materials—Changes for CY24

CMS issued the CY24 Model Materials last week

Released Model MaterialsCMS 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: and

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!

We’re Here To Help—CODY® has led the industry for decades, and we have the expertise to help your plan ensure readiness and maintain compliance. To learn more, contact us today for a consultation.

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