Prepare CGDP Information for Q4 2022 Invoice Report Distribution
It's Time to Prepare.
The Q4 2022 Medicare Coverage Gap Discount Program (CGDP) invoicing period is approaching.
Update bank information
Please make sure that the Third Party Administrator (TPA) has the correct bank account information on file for both sending and receiving payments, as well as making sure to validate your debit blocks and velocity filters on your accounts.
The Q4 2022 quarterly invoices will be distributed on Tuesday, January 31, 2023.
Failure to provide the proper banking information prevents your company from being able to make and/or receive payments and may result in a compliance action if payments cannot be made by the payment deadline of Saturday, March 11, 2023.
Pre-Note Bank Account Validation
The TPA will conduct periodic account validation at least once per CGDP reporting period on payee and payer bank accounts and as required when CGDP participants make bank account changes.
The validation process will be conducted in the form of a pre-notification, or prenote, and will be conducted on both payee and payer accounts each reporting period. A prenote is a zero-dollar test transmitted through the Automatic Clearing House (ACH) network to validate bank account information on file with the TPA.
The TPA utilizes electronic signature (eSignature) for all bank account change forms. In an effort to enhance security, only the associate with credentials to access the CGDP Portal (TPA Liaison or the CGDP Payment Contact) will have authorization to submit any bank account related changes. The form can still be accessed from the TPA website; however, the user will be taken directly to the CGDP Portal's logon page.
If there is a need to update bank information, please follow these steps:
1. Go to the TPA website: www.tpadministrator.com;
2. Choose the "EFT Information" link;
3. Choose "Payee/Payer Bank Account Change Form";
4. Enter the CGDP Portal credentials on the CGDP Portal Login page;
5. Select the "My Profile" link in the upper right corner and select either:
• "Request Payer Account Modification" (account for sending payments);
• "Request Payee Account Modification" (account for receiving payments);
6. Fill out the form and follow the online instructions.
Once the authorized signer is specified, that individual will receive an email message, inviting them to review and electronically sign the account modification form. After completing the application, the signer will be prompted to enter a password, provided electronically by the TPA. Once the authorized party enters their TPA-provided password, the signed form is electronically sent to the TPA for review and execution of the change. Once completed, the banking information will be updated. Executed copies of the form are then emailed to the person completing the form as well as the authorized signer.
Change of Primary Point of Contact
If there has recently been a change in personnel at your company so that a new person will be interacting with the TPA and needs access to the CGDP Portal, please make sure that the Health Plan Management System (HPMS) has been updated to reflect this point of contact change and then contact the TPA for further instructions.
Pharmaceutical Drug Manufacturers and Part D Sponsors are required to periodically review their HPMS contact information for accuracy and update it as needed, as part of the CGDP requirements. HPMS contact information is a vital resource used by CMS and the TPA to disseminate important CGDP related information to program participants.
Pharmaceutical Drug Manufacturers and Part D Sponsors should make sure that the data displayed in HPMS is the most current information and reflects the correct personnel listed for the following fields:
• HPMS field “TPA Liaison”
• HPMS field “Coverage Gap Discount Program (CGDP) Payment Contact”
The TPA will be using HPMS to verify and update contact information for the following fields:
• TPA Primary Contact role = HPMS “TPA Liaison”
• TPA Payment Initiator role = HPMS “Coverage Gap Discount Program (CGDP) Payment Contact”
To access HPMS, select the HPMS graphic, displayed below, to sign in and update contact information.
If you have any questions, please contact the TPA by phone at 1-877-534-2772, option 1 or by email at firstname.lastname@example.org.