OMB control number
Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP) (CMS-10142)
OMB 0938-0944 · HHS/CMS.
OMB 0938-0944
Under the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), and implementing regulations at 42 CFR, Medicare Advantage organizations (MAO) and Prescription Drug Plans (PDP) are required to submit an actuarial pricing "bid" for each plan offered to Medicare beneficiaries for approval by the Centers for Medicare & Medicaid Services (CMS). MAOs and PDPs use the Bid Pricing Tool (BPT) software to develop their actuarial pricing bid. The information provided in the BPT is the basis for the plan's enrollee premiums and CMS payments for each contract year.
The latest form for Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP) (CMS-10142) expires 2027-03-31 and is listed under ICR 202412-0938-016.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10142 Worksheets: Prescription Drug Bid Pricing Tool | Form |
| Form CMS-10142 Worksheets: Medicare Advantage Bid Pricing Tool | Form |
 [email protected] | Public Comments |
| Elevance Health Comments_BPT 2027 PRA_Final.pdf | Public Comments |
 CMS-10142_Attachment_B_Supporting_Statement.docx | Supporting Statement A |
| CMS-10142_Attachment_C_BPT_changes.pdf | Supplementary Document |
| CMS-10142_Response to Public Comments_60-day.pdf | Supplementary Document |
 Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP) |
Form |
| Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP) |
Form |
| Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP) |
Instruction |