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

Reporting Sections Eligible for Validation in the 2025 DV Cycle

DVCs evaluate the following Part C reporting sections:

Table 5: Part C Reporting Sections Requiring Evaluation
Name of Part C Reporting SectionReporting YearReported by SO to CMS Annually, Bi-Annually, or QuarterlyFile Upload Into HPMS Yes/No
Grievances2024AnnuallyYes
Organization Determinations/Reconsiderations2024AnnuallyYes
Special Needs Plans (SNPs) Care Management2024AnnuallyYes

Note:The DV Manual, available within the 2025 Parts C and D Data Validation zip file, shows those reporting sections that CMS requires but excludes from data validation.