This page provides important information on the application process for Medicare prescription drug plans (PDPs, MA-PDs, Cost, EGWP, Direct, and PACE).  Please use the Medicare Advantage link in the "Related Links Inside CMS" area on this page to access the Medicare Advantage application materials.

Click the selection that best matches your information needs.

Downloads
2011 Application for New Prescription Drug Plan (PDP) [PDF, 1.3MB] 2011 Application for New Medicare Advantage Prescription Drug Plan (MA-PD) [PDF, 1.3MB] 2011 Application for PDP and MA-PD Service Area Expansion (SAE) [PDF, 497KB] 2011 Application for New Cost Plan [PDF, 1.2MB] 2011 Application for New PACE Plan [PDF, 537KB] Beneficiary Count Data [ZIP, 1.2MB] Resources for HI, LTC, and ITU Sections [ZIP, 1.5MB] Geographic Access Templates and Examples [ZIP, 63KB]
Related Links Inside CMS
Medicare Advantage Application Page
Related Links Outside CMS
There are no Related Links Outside CMS

Page Last Modified: 01/04/2010 11:59:00 PM
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