CMS invites comments on generic info collection—speak up by February
Published Date: 12/22/2025
Notice
Summary
The Centers for Medicare & Medicaid Services (CMS) wants your thoughts on their plan to collect some info from the public. This is part of a routine check to make sure the questions they ask aren’t too much work and actually help them do their job better. If you have ideas or concerns, you’ve got until February 20, 2026, to speak up—no cost to comment, just your time!
Analyzed Economic Effects
2 provisions identified: 0 benefits, 0 costs, 2 mixed.
Medicare plans must submit PBP and formulary
Medicare Advantage (MA) and Prescription Drug Plan (PDP) organizations must submit a Plan Benefit Package (PBP) and formulary each year as part of the annual bid process for CY 2027. CMS uses that PBP and formulary data to review and approve plan benefit packages and to populate Medicare Plan Finder so beneficiaries can access and compare MA and PDP plans. CMS reports 764 respondents, 8,068 responses, and a total of 44,178 annual hours for this collection.
Annual audits to check Part C and D compliance
CMS will collect information under Medicare Part C and Part D audit protocols and timeliness monitoring to assess sponsoring organizations' compliance and ensure beneficiaries receive appropriate and timely benefits, services, and drugs. Sponsoring organizations must provide access to records, documentation, and systems and report requested data for these audits; CMS reports 30 respondents, 30 annual responses, and 12,045 total annual hours for this collection. CMS will review formulary administration, transition benefits, coverage requests and appeals, and SNP care coordination as part of these reviews.
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