CMS logo. EGWP & PDE REPORTING. Amanda Johnson Division of Payment Reconciliation Medicare Plan Payment Group. September 5, 2012. Image of spilled med capsules. Disclaimer. This presentation is not meant to replace existing guidance or forthcoming official guidance. . 2. Purpose.
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Division of Payment Reconciliation
Medicare Plan Payment Group
September 5, 2012
Image of spilled med capsules
NPP = GDC – (Patient Pay + CPP + PLRO + Other TrOOP + LICS + Reported Gap Discount)
$10.00 will count towards TrOOP
$30.00 will count towards TrOOP
*Current policy of placing the dispensing fee and vaccine administration fee outside of the Coverage Gap when possible will remain in effect in 2013.