Download:
pdf |
pdfCY 2026 PBP Data Entry System Pages
11a - Durable Medical Equipment (DME) -Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 1 of 207
CY 2026 PBP Data Entry System Pages
11a - Durable Medical Equipment (DME) -Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 2 of 207
CY 2026 PBP Data Entry System Pages
11a - Durable Medical Equipment (DME) -Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 3 of 207
CY 2026 PBP Data Entry System Pages
11a - Durable Medical Equipment (DME) -Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 4 of 207
CY 2026 PBP Data Entry System Pages
11a - Durable Medical Equipment (DME) -Page 5
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 5 of 207
CY 2026 PBP Data Entry System Pages
11b - Prosthetics /Medical Supplies
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 6 of 207
CY 2026 PBP Data Entry System Pages
11b1 - Prosthetic Devices – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 7 of 207
CY 2026 PBP Data Entry System Pages
11b1 - Prosthetic Devices – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 8 of 207
CY 2026 PBP Data Entry System Pages
11b1 - Prosthetic Devices – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 9 of 207
CY 2026 PBP Data Entry System Pages
11b1 - Prosthetic Devices – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 10 of 207
CY 2026 PBP Data Entry System Pages
11b2 - Medical Supplies – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 11 of 207
CY 2026 PBP Data Entry System Pages
11b2 - Medical Supplies – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 12 of 207
CY 2026 PBP Data Entry System Pages
11b2 - Medical Supplies – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 13 of 207
CY 2026 PBP Data Entry System Pages
11c - Diabetic Supplies and Services -Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 14 of 207
CY 2026 PBP Data Entry System Pages
11c - Diabetic Supplies and Services-Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 15 of 207
CY 2026 PBP Data Entry System Pages
11c1 - Diabetic Supplies – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 16 of 207
CY 2026 PBP Data Entry System Pages
11c1 - Diabetic Supplies – Page 2
-
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 17 of 207
CY 2026 PBP Data Entry System Pages
11c1 - Diabetic Supplies – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 18 of 207
CY 2026 PBP Data Entry System Pages
11c2 - Diabetic Therapeutic Shoes /Inserts – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 19 of 207
CY 2026 PBP Data Entry System Pages
11c2 - Diabetic Therapeutic Shoes /Inserts – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 20 of 207
CY 2026 PBP Data Entry System Pages
11c2 - Diabetic Therapeutic Shoes /Inserts – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 21 of 207
CY 2026 PBP Data Entry System Pages
12 - Dialysis Services -Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 22 of 207
CY 2026 PBP Data Entry System Pages
12 - Dialysis Services - Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 23 of 207
CY 2026 PBP Data Entry System Pages
12 - Dialysis Services - Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 24 of 207
CY 2026 PBP Data Entry System Pages
12 - Dialysis Services - Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 25 of 207
CY 2026 PBP Data Entry System Pages
13a - Acupuncture Treatments -Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 26 of 207
CY 2026 PBP Data Entry System Pages
13a - Acupuncture Treatments -Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 27 of 207
CY 2026 PBP Data Entry System Pages
13a - Acupuncture Treatments -Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 28 of 207
CY 2026 PBP Data Entry System Pages
13a - Acupuncture Treatments -Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 29 of 207
CY 2026 PBP Data Entry System Pages
13a - Acupuncture Treatments -Page 5
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 30 of 207
CY 2026 PBP Data Entry System Pages
13a - Acupuncture Treatments -Page 6
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 31 of 207
CY 2026 PBP Data Entry System Pages
13b - Over-the-Counter (OTC) Items - Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 32 of 207
CY 2026 PBP Data Entry System Pages
13b - Over-the-Counter (OTC) Items - Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 33 of 207
CY 2026 PBP Data Entry System Pages
13b - Over-the-Counter (OTC) Items - Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 34 of 207
CY 2026 PBP Data Entry System Pages
13b - Over-the-Counter (OTC) Items - Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 35 of 207
CY 2026 PBP Data Entry System Pages
13b - Over-the-Counter (OTC) Items - Page 5
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 36 of 207
CY 2026 PBP Data Entry System Pages
13b - Over-the-Counter (OTC) Items – Page 6
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 37 of 207
CY 2026 PBP Data Entry System Pages
13c - Meal Benefits -Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 38 of 207
CY 2026 PBP Data Entry System Pages
13c - Meal Benefits -Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 39 of 207
CY 2026 PBP Data Entry System Pages
13c - Meal Benefits -Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 40 of 207
CY 2026 PBP Data Entry System Pages
13c - Meal Benefits -Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 41 of 207
CY 2026 PBP Data Entry System Pages
13c - Meal Benefits -Page 5
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 42 of 207
CY 2026 PBP Data Entry System Pages
13d - Other 1 -Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 43 of 207
CY 2026 PBP Data Entry System Pages
13d - Other 1 -Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 44 of 207
CY 2026 PBP Data Entry System Pages
13d - Other 1 -Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 45 of 207
CY 2026 PBP Data Entry System Pages
13d - Other 1 -Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 46 of 207
CY 2026 PBP Data Entry System Pages
13d - Other 1 -Page 5
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 47 of 207
CY 2026 PBP Data Entry System Pages
13e - Other 2 -Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 48 of 207
CY 2026 PBP Data Entry System Pages
13e - Other 2 -Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 49 of 207
CY 2026 PBP Data Entry System Pages
13e - Other 2 -Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 50 of 207
CY 2026 PBP Data Entry System Pages
13e - Other 2 -Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 51 of 207
CY 2026 PBP Data Entry System Pages
13e - Other 2 -Page 5
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 52 of 207
CY 2026 PBP Data Entry System Pages
13f - Other 3 -Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 53 of 207
CY 2026 PBP Data Entry System Pages
13f - Other 3 -Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 54 of 207
CY 2026 PBP Data Entry System Pages
13f - Other 3 -Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 55 of 207
CY 2026 PBP Data Entry System Pages
13f - Other 3 -Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 56 of 207
CY 2026 PBP Data Entry System Pages
13f - Other 3 -Page 5
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 57 of 207
CY 2026 PBP Data Entry System Pages
13g - Dual Eligible SNPs with Highly Integrated Services -Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 58 of 207
CY 2026 PBP Data Entry System Pages
13g - Dual Eligible SNPs with Highly Integrated Services -Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 59 of 207
CY 2026 PBP Data Entry System Pages
13g - Dual Eligible SNPs with Highly Integrated Services -Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 60 of 207
CY 2026 PBP Data Entry System Pages
13g - Dual Eligible SNPs with Highly Integrated Services -Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 61 of 207
CY 2026 PBP Data Entry System Pages
13g - Dual Eligible SNPs with Highly Integrated Services -Page 5
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 62 of 207
CY 2026 PBP Data Entry System Pages
14a – Medicare-covered Zero Dollar Preventive Services – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 63 of 207
CY 2026 PBP Data Entry System Pages
14a – Medicare-covered Zero Dollar Preventive Services – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 64 of 207
CY 2026 PBP Data Entry System Pages
14a – Medicare-covered Zero Dollar Preventive Services – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 65 of 207
CY 2026 PBP Data Entry System Pages
14b – Annual Physical Exam – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 66 of 207
CY 2026 PBP Data Entry System Pages
14b – Annual Physical Exam – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 67 of 207
CY 2026 PBP Data Entry System Pages
14b – Annual Physical Exam – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 68 of 207
CY 2026 PBP Data Entry System Pages
14b – Annual Physical Exam – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 69 of 207
CY 2026 PBP Data Entry System Pages
14b – Annual Physical Exam – Page 5
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 70 of 207
CY 2026 PBP Data Entry System Pages
14c – Other Defined Supplemental Benefits
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 71 of 207
CY 2026 PBP Data Entry System Pages
14c1 – Health Education – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 72 of 207
CY 2026 PBP Data Entry System Pages
14c1 – Health Education – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 73 of 207
CY 2026 PBP Data Entry System Pages
14c1 – Health Education – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 74 of 207
CY 2026 PBP Data Entry System Pages
14c1 – Health Education – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 75 of 207
CY 2026 PBP Data Entry System Pages
14c2 – Nutritional/Dietary Benefit – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 76 of 207
CY 2026 PBP Data Entry System Pages
14c2 – Nutritional/Dietary Benefit – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 77 of 207
CY 2026 PBP Data Entry System Pages
14c2 – Nutritional/Dietary Benefit – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 78 of 207
CY 2026 PBP Data Entry System Pages
14c2 – Nutritional/Dietary Benefit – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 79 of 207
CY 2026 PBP Data Entry System Pages
14c2 – Nutritional/Dietary Benefit – Page 5
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 80 of 207
CY 2026 PBP Data Entry System Pages
14c3 – Additional Sessions of Smoking and Tobacco Cessation Counseling – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 81 of 207
CY 2026 PBP Data Entry System Pages
14c3 – Additional Sessions of Smoking and Tobacco Cessation Counseling – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 82 of 207
CY 2026 PBP Data Entry System Pages
14c3 – Additional Sessions of Smoking and Tobacco Cessation Counseling – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 83 of 207
CY 2026 PBP Data Entry System Pages
14c3 – Additional Sessions of Smoking and Tobacco Cessation Counseling – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 84 of 207
CY 2026 PBP Data Entry System Pages
14c4 – Fitness Benefit – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 85 of 207
CY 2026 PBP Data Entry System Pages
14c4 – Fitness Benefit – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 86 of 207
CY 2026 PBP Data Entry System Pages
14c4 – Fitness Benefit – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 87 of 207
CY 2026 PBP Data Entry System Pages
14c4 – Fitness Benefit – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 88 of 207
CY 2026 PBP Data Entry System Pages
14c4 – Fitness Benefit – Page 5
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 89 of 207
CY 2026 PBP Data Entry System Pages
14c5 – Enhanced Disease Management – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 90 of 207
CY 2026 PBP Data Entry System Pages
14c5 – Enhanced Disease Management – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 91 of 207
CY 2026 PBP Data Entry System Pages
14c5 – Enhanced Disease Management – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 92 of 207
CY 2026 PBP Data Entry System Pages
14c5 – Enhanced Disease Management – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 93 of 207
CY 2026 PBP Data Entry System Pages
14c6 – Telemonitoring Services – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 94 of 207
CY 2026 PBP Data Entry System Pages
14c6 – Telemonitoring Services – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 95 of 207
CY 2026 PBP Data Entry System Pages
14c6 – Telemonitoring Services – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 96 of 207
CY 2026 PBP Data Entry System Pages
14c6 – Telemonitoring Services – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 97 of 207
CY 2026 PBP Data Entry System Pages
14c7 – Remote Access Technologies (including Web/Phone-based technologies and Nursing Hotline) – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 98 of 207
CY 2026 PBP Data Entry System Pages
14c7 – Remote Access Technologies (including Web/Phone-based technologies and Nursing Hotline) – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 99 of 207
CY 2026 PBP Data Entry System Pages
14c7 – Remote Access Technologies (including Web/Phone-based technologies and Nursing Hotline) – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 100 of 207
CY 2026 PBP Data Entry System Pages
14c7 – Remote Access Technologies (including Web/Phone-based technologies and Nursing Hotline) – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 101 of 207
CY 2026 PBP Data Entry System Pages
14c7 – Remote Access Technologies (including Web/Phone-based technologies and Nursing Hotline) – Page 5
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 102 of 207
CY 2026 PBP Data Entry System Pages
14c8 – Home and Bathroom Safety Devices and Modifications – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 103 of 207
CY 2026 PBP Data Entry System Pages
14c8 – Home and Bathroom Safety Devices and Modifications – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 104 of 207
CY 2026 PBP Data Entry System Pages
14c8 – Home and Bathroom Safety Devices and Modifications – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 105 of 207
CY 2026 PBP Data Entry System Pages
14c8 – Home and Bathroom Safety Devices and Modifications – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 106 of 207
CY 2026 PBP Data Entry System Pages
14c9 – Counseling Services – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 107 of 207
CY 2026 PBP Data Entry System Pages
14c9 – Counseling Services – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 108 of 207
CY 2026 PBP Data Entry System Pages
14c9 – Counseling Services – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 109 of 207
CY 2026 PBP Data Entry System Pages
14c9 – Counseling Services – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 110 of 207
CY 2026 PBP Data Entry System Pages
14c9 – Counseling Services – Page 5
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 111 of 207
CY 2026 PBP Data Entry System Pages
14c10 – In-Home Safety Assessment – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 112 of 207
CY 2026 PBP Data Entry System Pages
14c10 – In-Home Safety Assessment – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 113 of 207
CY 2026 PBP Data Entry System Pages
14c10 – In-Home Safety Assessment – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 114 of 207
CY 2026 PBP Data Entry System Pages
14c10 – In-Home Safety Assessment – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 115 of 207
CY 2026 PBP Data Entry System Pages
14c11 – Personal Emergency Response System (PERS) – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 116 of 207
CY 2026 PBP Data Entry System Pages
14c11 – Personal Emergency Response System (PERS) – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 117 of 207
CY 2026 PBP Data Entry System Pages
14c11 – Personal Emergency Response System (PERS) – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 118 of 207
CY 2026 PBP Data Entry System Pages
14c11 – Personal Emergency Response System (PERS) – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 119 of 207
CY 2026 PBP Data Entry System Pages
14c12 – Medical Nutrition Therapy (MNT) – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 120 of 207
CY 2026 PBP Data Entry System Pages
14c12 – Medical Nutrition Therapy (MNT) – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 121 of 207
CY 2026 PBP Data Entry System Pages
14c12 – Medical Nutrition Therapy (MNT) – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 122 of 207
CY 2026 PBP Data Entry System Pages
14c12 – Medical Nutrition Therapy (MNT) – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 123 of 207
CY 2026 PBP Data Entry System Pages
14c12 – Medical Nutrition Therapy (MNT) – Page 5
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 124 of 207
CY 2026 PBP Data Entry System Pages
14c13 – Post discharge In-Home Medication Reconciliation – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 125 of 207
CY 2026 PBP Data Entry System Pages
14c13 – Post discharge In-Home Medication Reconciliation – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 126 of 207
CY 2026 PBP Data Entry System Pages
14c13 – Post discharge In-Home Medication Reconciliation – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 127 of 207
CY 2026 PBP Data Entry System Pages
14c13 – Post discharge In-Home Medication Reconciliation – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 128 of 207
CY 2026 PBP Data Entry System Pages
14c14 – Re-admission Prevention – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 129 of 207
CY 2026 PBP Data Entry System Pages
14c14 – Re-admission Prevention – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 130 of 207
CY 2026 PBP Data Entry System Pages
14c14 – Re-admission Prevention – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 131 of 207
CY 2026 PBP Data Entry System Pages
14c14 – Re-admission Prevention – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 132 of 207
CY 2026 PBP Data Entry System Pages
14c14 – Re-admission Prevention – Page 5
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 133 of 207
CY 2026 PBP Data Entry System Pages
14c15 – Wigs for Hair Loss Related to Chemotherapy – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 134 of 207
CY 2026 PBP Data Entry System Pages
14c15 – Wigs for Hair Loss Related to Chemotherapy – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 135 of 207
CY 2026 PBP Data Entry System Pages
14c15 – Wigs for Hair Loss Related to Chemotherapy – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 136 of 207
CY 2026 PBP Data Entry System Pages
14c15 – Wigs for Hair Loss Related to Chemotherapy – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 137 of 207
CY 2026 PBP Data Entry System Pages
14c16 – Weight Management Programs – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 138 of 207
CY 2026 PBP Data Entry System Pages
14c16 – Weight Management Programs – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 139 of 207
CY 2026 PBP Data Entry System Pages
14c16 – Weight Management Programs – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 140 of 207
CY 2026 PBP Data Entry System Pages
14c16 – Weight Management Programs – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 141 of 207
CY 2026 PBP Data Entry System Pages
14c17 – Alternative Therapies – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 142 of 207
CY 2026 PBP Data Entry System Pages
14c17 – Alternative Therapies – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 143 of 207
CY 2026 PBP Data Entry System Pages
14c17 – Alternative Therapies – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 144 of 207
CY 2026 PBP Data Entry System Pages
14c17 – Alternative Therapies – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 145 of 207
CY 2026 PBP Data Entry System Pages
14c17 – Alternative Therapies – Page 5
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 146 of 207
CY 2026 PBP Data Entry System Pages
14c18 – Therapeutic Massage – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 147 of 207
CY 2026 PBP Data Entry System Pages
14c18 – Therapeutic Massage – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 148 of 207
CY 2026 PBP Data Entry System Pages
14c18 – Therapeutic Massage – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 149 of 207
CY 2026 PBP Data Entry System Pages
14c18 – Therapeutic Massage – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 150 of 207
CY 2026 PBP Data Entry System Pages
14c18 – Therapeutic Massage – Page 5
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 151 of 207
CY 2026 PBP Data Entry System Pages
14c19 – Adult Day Health Services – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 152 of 207
CY 2026 PBP Data Entry System Pages
14c19 – Adult Day Health Services – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 153 of 207
CY 2026 PBP Data Entry System Pages
14c19 – Adult Day Health Services – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 154 of 207
CY 2026 PBP Data Entry System Pages
14c19 – Adult Day Health Services – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 155 of 207
CY 2026 PBP Data Entry System Pages
14c20 – Home-Based Palliative Care – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 156 of 207
CY 2026 PBP Data Entry System Pages
14c20 – Home-Based Palliative Care – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 157 of 207
CY 2026 PBP Data Entry System Pages
14c20 – Home-Based Palliative Care – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 158 of 207
CY 2026 PBP Data Entry System Pages
14c20 – Home-Based Palliative Care – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 159 of 207
CY 2026 PBP Data Entry System Pages
14c21 – In-Home Support Services – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 160 of 207
CY 2026 PBP Data Entry System Pages
14c21 – In-Home Support Services – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 161 of 207
CY 2026 PBP Data Entry System Pages
14c21 – In-Home Support Services – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 162 of 207
CY 2026 PBP Data Entry System Pages
14c21 – In-Home Support Services – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 163 of 207
CY 2026 PBP Data Entry System Pages
14c22 – Support for Caregivers of Enrollees – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 164 of 207
CY 2026 PBP Data Entry System Pages
14c22 – Support for Caregivers of Enrollees – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 165 of 207
CY 2026 PBP Data Entry System Pages
14c22 – Support for Caregivers of Enrollees – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 166 of 207
CY 2026 PBP Data Entry System Pages
14c22 – Support for Caregivers of Enrollees – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 167 of 207
CY 2026 PBP Data Entry System Pages
14c22 – Support for Caregivers of Enrollees – Page 5
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 168 of 207
CY 2026 PBP Data Entry System Pages
14d – Kidney Disease Education Services – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 169 of 207
CY 2026 PBP Data Entry System Pages
14d – Kidney Disease Education Services – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 170 of 207
CY 2026 PBP Data Entry System Pages
14d – Kidney Disease Education Services – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 171 of 207
CY 2026 PBP Data Entry System Pages
14d – Kidney Disease Education Services – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 172 of 207
CY 2026 PBP Data Entry System Pages
14e1 – Glaucoma Screening – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 173 of 207
CY 2026 PBP Data Entry System Pages
14e1 – Glaucoma Screening – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 174 of 207
CY 2026 PBP Data Entry System Pages
14e1 – Glaucoma Screening -Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 175 of 207
CY 2026 PBP Data Entry System Pages
14e1 – Glaucoma Screening – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 176 of 207
CY 2026 PBP Data Entry System Pages
14e2 – Diabetes Self-Management Training – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 177 of 207
CY 2026 PBP Data Entry System Pages
14e2 – Diabetes Self-Management Training – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 178 of 207
CY 2026 PBP Data Entry System Pages
14e2 – Diabetes Self-Management Training – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 179 of 207
CY 2026 PBP Data Entry System Pages
14e2 – Diabetes Self-Management Training – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 180 of 207
CY 2026 PBP Data Entry System Pages
14e3 – Barium Enemas – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 181 of 207
CY 2026 PBP Data Entry System Pages
14e3 – Barium Enemas – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 182 of 207
CY 2026 PBP Data Entry System Pages
14e3 – Barium Enemas – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 183 of 207
CY 2026 PBP Data Entry System Pages
14e3 – Barium Enemas – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 184 of 207
CY 2026 PBP Data Entry System Pages
14e4 – Digital Rectal Exams – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 185 of 207
CY 2026 PBP Data Entry System Pages
14e4 – Digital Rectal Exams – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 186 of 207
CY 2026 PBP Data Entry System Pages
14e4 – Digital Rectal Exams – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 187 of 207
CY 2026 PBP Data Entry System Pages
14e4 – Digital Rectal Exams – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 188 of 207
CY 2026 PBP Data Entry System Pages
14e5 – EKG following Welcome Visit – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 189 of 207
CY 2026 PBP Data Entry System Pages
14e5 – EKG following Welcome Visit – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 190 of 207
CY 2026 PBP Data Entry System Pages
14e5 – EKG following Welcome Visit – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 191 of 207
CY 2026 PBP Data Entry System Pages
14e5 – EKG following Welcome Visit – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 192 of 207
CY 2026 PBP Data Entry System Pages
15 – Medicare Part B Rx Drugs – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 193 of 207
CY 2026 PBP Data Entry System Pages
15 – Medicare Part B Rx Drugs – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 194 of 207
CY 2026 PBP Data Entry System Pages
15-1 – Medicare Part B Insulin Drugs – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 195 of 207
CY 2026 PBP Data Entry System Pages
15-1 – Medicare Part B Insulin Drugs – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 196 of 207
CY 2026 PBP Data Entry System Pages
15-1 – Medicare Part B Insulin Drugs – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 197 of 207
CY 2026 PBP Data Entry System Pages
15-1 – Medicare Part B Insulin Drugs – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 198 of 207
CY 2026 PBP Data Entry System Pages
15-2 – Medicare Part B Chemotherapy/Radiation Drugs – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 199 of 207
CY 2026 PBP Data Entry System Pages
15-2 – Medicare Part B Chemotherapy/Radiation Drugs – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 200 of 207
CY 2026 PBP Data Entry System Pages
15-2 – Medicare Part B Chemotherapy/Radiation Drugs – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 201 of 207
CY 2026 PBP Data Entry System Pages
15-2 – Medicare Part B Chemotherapy/Radiation Drugs – Page 4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 202 of 207
CY 2026 PBP Data Entry System Pages
15-3 – Other Medicare Part B Drugs – Page 1
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 203 of 207
CY 2026 PBP Data Entry System Pages
15-3 – Other Medicare Part B Drugs – Page 2
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 204 of 207
CY 2026 PBP Data Entry System Pages
15-3 – Other Medicare Part B Drugs – Page 3
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 205 of 207
CY 2026 PBP Data Entry System Pages
15-3 – Other Medicare Part B Drugs – Page -4
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 206 of 207
CY 2026 PBP Data Entry System Pages
15 – Home Infusion Bundled Services
Softrams
CY2026 PBP – Benefit Service Categories 11-15
01/08/2025
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 207 of 207
| File Type | application/pdf |
| File Title | CY 2026 PBP Data Entry System Pages |
| Author | CMS |
| File Modified | 2025-01-06 |
| File Created | 2025-01-06 |