CMS HPMS Memo, Part D Payment for Drugs for Beneficiaries Enrolled in Hospice—Request for Comments (Dec. 6, 2013), § Attachment 1- Hospice Data Flow

Beneficiary elects hospice, Comprehensive Hospice submits the notice of

physician certifies the assessment occurs & election (NOE) to the

hospice requirements are terminal and other Medicare contractor as soon

met & beneficiary is diagnoses are as possible after the

admitted recorded beneficiary elects hospice

CWF processes the

CWF sets up a hospice NOE and the election The Medicare contractor

benefit period with is updated on the sends the NOE to the

principal terminal CWF Master Common Working File (CWF)

diagnosis Beneficiary Record

A daily extract record from MARx sends a daily TRR with

the CWF is sent to update MBD is updated the hospice election

the Medicare Beneficiary within 12 hours information to the Part D

Database (MBD) sponsor