Updated research request forms and data security approval requirement effective 4/24/23
This variable indicates whether the plan offers reduced cost sharing in the post out-of-pocket threshold (catastrophic) phase of the Part D benefit.
This variable applies ONLY to the Enhanced Alternative Plans that offer reduced costsharing (i.e., where variable called REDUCED_COST_SHARE='Y').
The Initial Coverage Limit (ICL) phase of the Part D benefit is also referred to as the coverage gap.
The CCW constructs the Plan Characteristics File from information submitted by plan sponsors to CMS’s Health Plan Management System (HPMS).
Source: CMS (HPMS Files)
This variable applies ONLY to the Enhanced Alternative Plans that offer reduced costsharing (i.e., where variable called REDUCED_COST_SHARE='Y').
The Initial Coverage Limit (ICL) phase of the Part D benefit is also referred to as the coverage gap.
The CCW constructs the Plan Characteristics File from information submitted by plan sponsors to CMS’s Health Plan Management System (HPMS).
Source: CMS (HPMS Files)