Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP) (CMS-10142)

ICR 202312-0938-008

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-0944 can be found here:

Forms and Documents

Document Name	Status
Form CMS-10142 Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP) Form	Modified
CMS-10142_Attachment_B_Supporting_Statement.docx Supporting Statement A	2023-12-29
CMS-10142_Attachment_C_BPT_changes.pdf Supplementary Document	2023-12-29
PRA2025 CMS Response to Public Comments Received for CMS-10142.pdf Supplementary Document	2023-12-29

IC Document Collections

IC ID	Document Title	Status
37926	Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP) Form	Modified

ICR Details