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Section 60 – Required Documents (Updated)Number Question6. Please clarify the Health Plan IdentificationNumber (HPID) required to be included onID cards- is this contract #?2013 Medicare Marketing Guidelines (MMG)Questions & ResponsesNovember 2, 2012ust 29, 2012ResponseNo, the Health plan identificationnumber is a number that will beissued by CMS at a later date.7. Section 60.4.3 no longer states that acombined provider/pharmacy directory is 10day model-please clarify if this is still thecase.8. Section 60.1 indicates SB's are to besubmitted as one document under the Fileand Use process, but HPMS still reflects10/45 day review. Please confirm how toprocess.9. Submission of Summary of Benefits withSection III: Can you clarify how an SB thatincludes a Section III is to be submitted?The HMPS memo dated May 31, 2012indicates that plans “must submit allsections of the SB as one document underthe file & use process.” However, theMarketing Code Lookup module in HPMSincludes the code 1061-Summary ofBenefits (SB) with Free Form text (Section3) and specifies for that code that 45-dayreview is applicable and that File & Use isnot available.10. Can the Summary of Benefits (SBs) be filedas a standard template prior to CMS bidapproval? The 2012 MMGs allowed forsubmission of the summary of benefits tobe submitted as a template prior to bidapproval. However, the 2013 MMGs is nowsilent on this issue, however still allows forfiling of standard templates. Does thismean all plans have to wait to file their SBsuntil their CMS bids are approved?11. If the multi-language information is addedto the SB or EOC and not an insert wouldthat make the SB or EOC non-model?Yes, combined provider/pharmacydirectories are still considered modelmaterials if no modifications are made toeither the pharmacy or provider directory.HPMS submission codes will be updatedto reflect the file & use submissioneffective July 1, 2012.Plans should submit all sections of the SBas one document under the file & useprocess. The HPMS codes will beupdated to reflect the file & use statuseffective July 1, 2012.For CY 2013, plan sponsors may notsubmit the SB as a standard template. Allsections of the SB should be submitted asone populated document after bidapproval under File & Use.No, the SB and/or EOC will still beconsidered a model with the inclusion ofthe insert.The Final Contract Year 2013 Medicare Marketing Guidelines 26