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pdfPrescription Drug Event Data
Connect:Direct Form
OMB No. 0938-1152
Expires 07/31/2027
Contact Information
Contact the Customer Service Support Center (CSSC) Help Desk with any questions using the following contact information:
Phone Number: 1-877-534-2772
Email Address: [email protected]
Network Mapping Values
To set up network mapping entry by the submitter, the following values are provided. Palmetto GBA uses Secure Point of Entry
(SPOE) to enforce data security. The CSSC Help Desk will provide the Network Address Translation (NAT) IP Address and Listener Port to
the submitter during the connectivity testing phase.
Node ID
SCA.A70NDM.MC
System Platform
OS390, z/OS
Data Submission Information
Listed below are values needed by the submitter to code Connect:Direct scripts. The CSSC Help Desk will provide the
Submitter ID value that will be used in the Data Set Name (DSN).
DSN
MAB.PROD.NDM.PDFS.PROD.(+1)
DSN TEST
MAB.PROD.NDM.PDFS.TEST.(+1)
DISP
(NEW,CATLG,DELETE)
UNIT
SYSDG
SPACE
(CYL,(1200,500),RLSE)
DCB
(RECFM=FB,LRECL=1000,BLKSIZE=32000)
Form CMS-10340 (07/2027)
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Submitter's Network Mapping Values
To establish bi-directional data transfers with Palmetto GBA, provide the following network mapping values.
NAT IP Address
(Obtain from the Network Service
Vendor)
Listener Port
Node ID
System Platform
Mainframe
AS/400
Server
Additional Information
If submitting data files, the Production ID is required. If the submitter’s system requires login credentials to receive data
files, provide the Login ID.
Production ID
Login ID
Technical Contact Name
Phone Number
E-mail Address
Form CMS-10340 (07/2027)
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Dataset Names
To receive multiple data files and prevent overwriting of existing files, it is recommended that Generational Data Group
(GDG) dataset names (mainframe platform only) or dataset names containing date and timestamp (any platform) are
provided.
Prescription Drug Event
Frequency = Daily
Prescription Drug Front End System (PDFS) Response
Format
DSORG=PS,LRECL=80,RECFM=FB
Dataset Name
Drug Data Processing System (DDPS) Return File
Format
DSORG=PS,LRECL=1000,RECFM=FB
Dataset Name
DDPS Transaction Error Summary
Format
DSORG=PS,LRECL=512,RECFM=FB
Dataset Name
Monthly reports are grouped by date of service year and will be distributed in one dataset unless datasets containing a
variable for the year is provided.
Frequency = Monthly
DDPS 04 COV Cumulative Beneficiary Summary
Format
DSORG=PS,LRECL=1000512,RECFM=FB
Dataset Name
DDPS 04 ENH Cumulative Beneficiary Summary
Format
DSORG=PS,LRECL=1000512,RECFM=FB
Dataset Name
DDPS 04 OTC Cumulative Beneficiary Summary
Format
DSORG=PS,LRECL=1000512,RECFM=FB
Dataset Name
DDPS 25 COV Cumulative Beneficiary Summary
Format
DSORG=PS,LRECL=512,RECFM=FB
Dataset Name
Form CMS-10340 (07/2027)
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DDPS 25 ENH Cumulative Beneficiary Summary
Format
DSORG=PS,LRECL=512,RECFM=FB
Dataset Name
DDPS 25 OTC Cumulative Beneficiary Summary
Format
DSORG=PS,LRECL=512,RECFM=FB
Dataset Name
P2P 40 COV Accounting (YTD Cumulative P2P Activity)
Format
DSORG=PS,LRECL=1000512,RECFM=FB
Dataset Name
P2P 40 ENH Accounting (YTD Cumulative P2P Activity)
Format
DSORG=PS,LRECL=1000512,RECFM=FB
Dataset Name
P2P 40 OTC Accounting (YTD Cumulative P2P Activity)
Format
DSORG=PS,LRECL=1000512,RECFM=FB
Dataset Name
P2P 41 COV Receivable (Monthly P2P Activity)
Format
DSORG=PS,LRECL=1000512,RECFM=FB
Dataset Name
P2P 42 COV Part-D Payment Reconciliation (YTD Cumulative P2P Activity)
Format
DSORG=PS,LRECL=1000512,RECFM=FB
Dataset Name
P2P 43 COV Payable (Monthly P2P Activity)
Format
DSORG=PS,LRECL=1000512,RECFM=FB
Dataset Name
44 COV Other TrOOP Amount Indicator Summary (CY 2023 only)
Format
DSORG=PS,LRECL=1000512,RECFM=FB
Dataset Name
Form CMS-10340 (07/2027)
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Frequency = Bi-Annually
DDPS Potential Exclusion Warning Report
Format
DSORG=PS,LRECL=1000500,RECFM=FB
Dataset Name
Frequency = Annually
P2P Phase III Return File
Format
DSORG=PS,LRECL=1000,RECFM=FB
Dataset Name
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays
a valid OMB control number. The valid OMB control number for this information collection is 0938-1152. The time required to
complete this information collection is estimated to average 10 minutes per response, including the time to review instructions, search
existing data resources, gather the data needed, and complete and review the information collection. If you have any comments
concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard,
Attn: PRA Reports Clearance Officer, Baltimore, Maryland 21244-1850.
Form CMS-10340 (07/2027)
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File Type | application/pdf |
Subject | PDFS to Submitter Connect Direct Form |
Author | MERYLE GREVE |
File Modified | 2025-02-03 |
File Created | 2025-02-03 |