Terms and Conditions of Payment Identification System

50.6 - Terms and Conditions of Payment Identification System (Rev. 99, Issued: 05-27-11, Effective: 05-27-11, Implementation: 05-27-11) All terms and conditions of payment are required to have a unique identifier. PFFS plans are required to place on all CMS-approved terms and conditions of payment a unique identifier in order to allow CMS to track these documents in the marketplace, address provider inquiries and/or complaints, and allow immediate recognition of the documents as approved items. PFFS plans will be required to follow a specific format for the identifier similar to the format established for marketing materials in Chapter 3 of this manual. The identifier must: (1) begin with the organization’s contract number; (2) be followed by an underscore; (3) be followed by the three-character plan number; (4) be followed by an underscore; (5) be followed by a unique material-ID number (numbers or letters chosen at the discretion of the organization); and (6) be followed by a place-holder for the CMS approval date (the date when the plan is notified by CMS that the terms and conditions of payment have been approved). MA organizations that will use the same CMS approved terms and conditions of payment for multiple PFFS plans do not need to include the plan number in the identifier. PFFS plans must ensure that the identifier is prominently displayed on their terms and conditions of payment on the front page in the lower left- or lower right-hand corner of the document.