Updated Medicare-Medicaid Plan (MMP) 2025 Prescription Drug Event (PDE) Testing Certification Protocol


MMP submitters will continue to utilize the 2025 PDE Testing/Certification Protocol and the 2025 Testing/Certification Matrix published on the CSSC Operations website; however, since MMPs do not enroll non-LI members, those submitters will not be required to submit test cases 1-12. The documentation previously published will not be restructured but please utilize the updated requirements for MMP below:

 

  • MMP submitters are exempt from test cases 1-12.
  • MMP submitters must submit the 12 required PDE scenarios 13-24.
  • MMP submitters must submit an additional 88 test cases – for a minimum of 100 test cases.
  • MMP submitters must achieve a 90% acceptance rate.

 

In the event you have questions, please contact CSSC Operations at 1-877-534-2772 (option 2) or by email at csscoperations@palmettogba.com


Last Updated: 08/08/2024