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2025 Medicare Part C & Part D Reporting Requirements & Data Validation

Completing the CMS Systems Access Application

When you request access to the PRDVM:

  • DVC users should get personal access to the PRDVM.
  • If the designated users from the DVCs don’t yet have active access to the PRDVM, each user should download the Application for Access to CMS Computer Systems form and complete it as follows:
  • Section 1 - Type of Request: Check “NEW” as the type of request.
  • Section 2 - User Information: Check “Medicare Advantage / Medicare Advantage with Prescription Drug / Prescription Drug Plan / Cost Contracts – Using HPMS Only” and complete the data entry fields, where applicable.
  • Section 3 - Workload Information: Enter the contract numbers that you’ll submit data validation findings for in CY 2024. This is required.
  • Section 4 - Required Accesses: Check the first row beneath the “Default Non-CMS Employee” row. Place a check in the Connect box of the third row. On the blank line beside your check mark, write “HPMS_P_CommlUser.”
  • Section 5 - Justification: State briefly that you need HPMS access to submit the Data Validation Findings. You must indicate that your organization is under contract as a data validation contractor with the SOs.
  • Section 6 - Approvals: Leave blank.
  • Sign and date the Privacy Act Statement on page 3. Also, enter your name, SSN, and date of birth at the top of page 3. This step is critical to ensuring CMS processes your request successfully. CMS won’t process a request without the SSN.
  • CMS lists Instructions for Completing the Application for Access to CMS Computer Systems in the 2025 DV Manual in Appendix D. Find Appendix D in the 2025 Parts C and D Data Validation file under the Downloads section on the Part C and Part D Data Validation webpage.
  • Up to 5 people from each DVC may get access to the PRDVM on behalf of each SO; a person should complete 1 application for each user.
  • The DVC sends CMS the completed applications including a letter from each SO signed by the Chief Executive Officer (CEO) for the DVC under contract to complete the DV review. You can send these documents as email attachments. The DV Manual outlines specific letter requirements, and you can find model language for the letter, including the delivery address to CMS, in Appendix C.