>> Male Speaker: Welcome to the Health Plan Management
System, also known as HPMS.
HPMS is a secure, Internet-accessible
information system maintained by the Centers
for Medicare & Medicaid Services.
Over 60 HPMS software modules support the business
operations of the Medicare Advantage -- MA -- and
prescription drug Part D programs.
Through these automated solutions, CMS strives to
streamline business transactions for our private partners.
As we work together to provide Medicare
beneficiaries with a diverse set of high-quality
healthcare options, each major business area
supported by the system is represented in a top
navigation menu.
Let's review just a few examples of what you can do
in HPMS.
In the Contract Management area, you can manage your
organization's basic contract data, submit an MA,
Part D, PACE, or Special Needs Plan application, and
perform the monthly certification of enrollment
and payment data.
Within the Plan Bids area, you can submit bids and
benefit packages, report DIR data, and preview your
organization's data as it will be displayed in the
Medicare Plan Finder and Medicare & You Handbook.
In Plan Formularies, you can upload your organization's
formulary and submit medication therapy
management programs.
In the Monitoring area, you can access beneficiary
complaints, submit marketing materials, obtain program
audit results, and test your organization's provider and
facility networks against the CMS network
adequacy criteria.
Within Quality and Performance, you can upload
your organization's planned reporting data, view a
variety of plan performance metrics, and submit quality
improvement program, or QIP, data.
You can also use HPMS to perform many other
functions, such as viewing encounter data report cards,
submitting cost reports, and downloading data extracts.
These examples only scratch the surface of what you can
do in HPMS.
HPMS also administers the HPMS listserv, the primary
mechanism used by CMS to disseminate memos, guidance,
and other communications to our program stakeholders.
HPMS users can access all current and historical
mailings through the system's news
archive functionality.
HPMS software modules are developed using a common
look and feel.
Some features of the common look and feel include a
persistent top navigation bar to facilitate movement
between modules; a persistent right rail
navigation bar to facilitate movement within a single
module; a persistent footer containing important links
to system requirements, frequently asked questions,
and web policies; and a responsive web design that
adapts the website functionality to a wide
range of devices, from desktop computer monitors to
tablets to mobile phones.
Additionally, each software module contains help
resources such as user guides that are tailored to
each user role, making them easy to follow.
The HPMS user base spans a wide cross-section of the
healthcare industry and other stakeholders, and it
continues to grow every day.
HPMS users include CMS staff and contractors, private
health and drug plans, pharmaceutical
manufacturers, consultants, third-party vendors, states,
and other federal agencies.
CMS also provides several resources for HPMS
user support.
In addition to a dedicated internal team prepared to
assist you with obtaining and maintaining access to
the system, CMS offers help desk services that can
deliver knowledgeable technical guidance on using
the system.
Lastly, HPMS adheres to all applicable privacy and
security requirements and can be accessed using the
current version of any mainstream web browser, such
as Microsoft Internet Explorer, Google Chrome,
Mozilla Firefox, and Apple Safari.
We sincerely hope that you enjoy your experience
interacting with HPMS and find it to be a
user-friendly and valuable resource.
For more information on HPMS, please visit our
public website page.
You can also contact the HPMS help desk at either
hpms@cms.hhs.gov or 1-800-220-2028.
Thank you for taking the time to learn about the
Health Plan Management System.
Please check back here for additional videos on
HPMS functionality.
Brought to you by the CMS Center for Medicare,
Medicare Drug Benefit and C & D Data Group, division of
Plan Data.