CMS Proposes Mandatory 340B Claims Data Reporting for Medicare Part D
CMS published the 2027 Physician Fee Schedule proposed rule on July 16, proposing to make 340B claims data reporting mandatory for covered entities participating in Medicare Part D, converting what was previously a voluntary submission. The proposal would require 340B covered entities to submit Part D claims data to the Medicare Part D Claims Data 340B Repository starting in 2027. This change affects hospitals, federally qualified health centers, and other 340B covered entities that dispense drugs under Medicare Part D, requiring new compliance infrastructure and potentially increasing administrative burden for entities that have not voluntarily reported to date.
Mandatory 340B reporting creates new compliance obligations for Medicaid managed care organizations and providers operating 340B programs, particularly those that have avoided voluntary reporting and may lack the data systems to meet CMS requirements.
Pharmacy · Managed Care
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