CMS HPMS Memo, Part D Payment for Drugs for Beneficiaries Enrolled in Hospice—Final 2014 Guidance (Mar. 10, 2014), § Attachment 3- Hospice Data Flow

Beneficiary elects Comprehensive Hospice submits the notice

hospice, physician assessment occurs of election (NOE) to the

certifies the hospice & terminal and Medicare contractor as

requirements are met & other diagnoses are soon as possible after the

beneficiary is admitted recorded beneficiary elects hospice

CWF processes the

The Medicare contractor

CWF sets up a hospice NOE and the

sends the NOE to the

benefit period with election is updated

Common Working File

principal terminal on the CWF Master

(CWF)

diagnosis Beneficiary Record

A daily extract record

from the CWF is sent to MARx sends a daily TRR

MBD is updated with the hospice election

update the Medicare

within 12 hours information to the Part D

Beneficiary Database

(MBD) sponsor