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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 D reporting sections:

Table 6: Part D Reporting Sections Requiring Evaluation
Name of Part D Reporting SectionReporting YearReported by SO to CMS Annually, Bi-Annually, or QuarterlyFile Upload Into HPMS Yes/No
Medication Therapy Management (MTM) Programs2024AnnuallyYes
Grievances2024AnnuallyYes
Coverage Determinations, Redeterminations, and Reopenings2024AnnuallyYes
Improving Drug Utilization Review (DUR) Controls2024AnnuallyYes

Now that we’ve learned about the 2024 reporting sections eligible for validation, let’s review the 2025 DV standards.