The purpose of this web page is to increase transparency related to Part C Utilization Management ("UM") audits to help drive the industry towards improvements in the delivery of health care services in the Medicare Advantage program.
An HPMS memo released on December 23, 2024, announced an opportunity for Medicare Advantage (MA) Organizations and other stakeholders to comment on the proposed collection entitled "Medicare Part C Utilization Management Annual Data Submission and Audit Protocol Data Request" (CMS-10913; OMB control number: 0938-New). The 30-day notice for the proposed collection was also published in the Federal Register (89 FR 104547) on December 23, 2024 and can be accessed in the related links section. Comments must be received by January 22, 2025, per the instructions in the notice.
The supporting statement and related forms for the proposed collection summarized in the notice are also available in the related links section. We encourage commenters to review the specific comment solicitation in the supporting statement's "Background" section when preparing their feedback for CMS.