Health Plan Management System (HPMS)

The Centers for Medicare & Medicaid Services' (CMS) Health Plan Management System (HPMS) is a web-enabled information system that serves a critical role in the ongoing operations of the Medicare Advantage (MA) and Part D programs.

HPMS services the MA and Part D programs in two central ways. First, HPMS functionality facilitates the numerous data collection and reporting activities mandated for these entities by legislation. Second, HPMS provides support for the ongoing operations of the plan enrollment and plan compliance business functions as well as for longer-term strategic planning and program analysis.

Specifically, HPMS supports the following business processes for all private health and drug plans participating in the MA and Part D programs:

Because of its crosscutting nature, HPMS has a broad user base comprised of internal CMS staff, private health and drug plans, pharmaceutical manufacturers, States, consultants and third party vendors, external federal agencies, and CMS contractors.