Health Care Prepayment Plans (HCPPs)
A Health Care Pre-Payment Plan (HCPP) is an organization is a union or employer sponsored plan that provides or arranges for some or all of Part B Medicare benefits on a prepayment basis. Payment for Part A services is made on a fee-for-service basis.
Organizations that are interested in applying for a HCPP contract must download and complete all of the files below.
Downloads
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Cost budget format (zip,71KB) (ZIP) -
Medicare enrollment projections (zip,36KB) (ZIP) -
Medicare set-up forms (zip,133 KB) (ZIP) -
Uncovered expenditures (zip,31KB) (ZIP) -
File information (zip,6kb) (ZIP) -
Resource Tool (pdf,6kb) (PDF) -
State license table (zip, 22 KB) (ZIP) -
Insurance coverage table (zip,21 KB) (ZIP) -
Provider arrangements table (zip, 28 KB) (ZIP) -
2012 HCPP Application (zip,99kb) (ZIP)