§423.2490. Release of Part D MLR data.
42 C.F.R. § 423.2490
Terminology. Subject to the exclusions in paragraph (b) of this section, Part D MLR data consists of the information submitted under § 423.2460.
Exclusions from Part D MLR data. For the purpose of this section, the following items are excluded from Part D MLR data:
Narrative descriptions that Part D sponsors submit to support the information reported to CMS pursuant to the reporting requirements at § 423.2460, such as descriptions of expense allocation methods.
Information that is reported at the plan level, such as the number of member months associated with each plan under a contract, including information submitted for a contract consisting of only one plan.
Any information that could be used to identify Medicare beneficiaries or other individuals.
MLR review correspondence.
Any information for a contract for those contract years for which the contract is determined to be non-credible, as defined in accordance with § 423.2440(d).
Data release. CMS releases to the public Part D MLR data, for each contract for each contract year, no earlier than 18 months after the end of the applicable contract year
Notes, amendments, and revision history
Amendments
[81 FR 80558, Nov. 15, 2016, as amended at 83 FR 16756, Apr. 16, 2018]
Source
Source: 78 FR 31310, May 23, 2013, unless otherwise noted.
Authority
Authority: 42 U.S.C. 1302, 1306, 1395w-101 through 1395w-152, and 1395hh.
Source
Source: 70 FR 4525, Jan. 28, 2005, unless otherwise noted.
Amendments
[81 FR 80558, Nov. 15, 2016, as amended at 83 FR 16756, Apr. 16, 2018]