CY2011 Plan Benefit Package (PBP) Software and Formulary Submission - CMS-R-262

The Plan Benefit Package (PBP) and Formulary Submission for Advantage (MA) Plans and Prescription Drug Plans (PDPs)

Appendix_C_MTMP screenshots_121409_final

CY2011 Plan Benefit Package (PBP) Software and Formulary Submission - CMS-R-262

OMB: 0938-0763

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MTMP Screenshots
CY 2011 MTMP Submission Start Page

CY 2011 MTMP - Enter/Edit screen

CY 2011 PRA Package – MTMP

Page 1 of 6

CY 2011 MTMP - Enter/Edit - Multiple Chronic Diseases screen

CY 2011 MTMP - Enter/Edit - Multiple Covered Part D Drugs screen

CY 2011 PRA Package – MTMP

Page 2 of 6

CY 2011 MTMP - Enter/Edit screen: Identification, Enrollment/Disenrollment and
Interventions

CY 2011 PRA Package – MTMP

Page 3 of 6

CY 2011 MTMP – Enter/Edit Fees, Outcomes Measured, and Other Information

CY 2011 PRA Package – MTMP

Page 4 of 6

MTMP CY 2011 – Verify Submission

CY 2011 PRA Package – MTMP

Page 5 of 6

MTMP CY 2011 – Submission Confirmation

CY 2011 PRA Package – MTMP

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File Typeapplication/pdf
AuthorCMS
File Modified2009-12-17
File Created2009-12-17

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