CMS Reporting
Centers for Medicare & Medicaid Services — Reporting and Submission Management
CMS Submission Status
| Submission Name | Type | Due Date | Completeness | Status | Last Submitted | |
|---|---|---|---|---|---|---|
HEDIS / CAHPS Data Annual quality measures |
Quality | Apr 30, 2026 |
94%
|
Submitted ✓ | Apr 1, 2026 | |
Stars Measure Data Star ratings input data |
Quality | May 15, 2026 |
98%
|
In Progress 🔄 | — | |
Monthly Encounter Data Risk adjustment encounters |
Encounter | 15th each month |
92%
|
On Track ✓ | Apr 15, 2026 | |
Part D PDE Data Prescription Drug Event |
Part D | 30 days after EOM |
88%
|
In Progress 🔄 | Mar 31, 2026 | |
Annual Bid Submission Plan year 2027 bid |
Bid | Jun 1, 2026 |
67%
|
Not Started | — | |
MLR Report Medical Loss Ratio |
Financial | Jul 31, 2026 |
—
|
Not Started ○ | — |
CMS Data Validation Results
3 warnings · 0 errorsStars Measure: Blood Pressure Control — below national average
Current rate: 62.3% vs. national avg 68.1%. Below-average performance may impact star rating. Review clinical programs.
Part D PDE — 12% of records missing prescriber NPI
CMS requires valid prescriber NPI on all PDE records. Run NPI lookup batch to resolve before submission.
Encounter Data — Encounter rate below expected for FQHC patients
FQHC encounter rate is 14% below expected. Validate FQHC encounter submission alignment with PPS claims data.
HPMS Connection
Status● Connected
Last Sync2 hours ago
Contract IDH8432
Plan ID003, 004, 008
Report Year2026
Submission Summary
Total Submissions6
Submitted1
On Track2
In Progress2
Not Started2
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