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

Data Extraction Process Detail

Extraction of the Sample Data

Refer to Section 4 of Appendix H for guidance on how to select data records and sample sizes by generating a simple random sample.

The following table lists the sampling unit and the minimum sample size for each Part C reporting section. Note that these are only minimum sample sizes and larger samples may be necessary.

CMS requires the DVC to use a statistician who will use sound statistical principles to determine the appropriate sample size for each reporting section. If the reporting section has a population that’s smaller than the recommended sample size, use the entire population to select the final stage list.

Table 13: Sampling Unit and Minimum Sample Size for Each Part C Reporting Section
Part C Reporting SectionSampling UnitSample Size
GrievancesCase ID150
Organization Determinations/ReconsiderationsCase ID150
SNPs Care ManagementMember ID205