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

Example of EES Form for Standards 2 and 2.a

Microsoft Excel will open the form, and you’ll find the illustrated spreadsheet below for your convenience. Expand the spreadsheet’s cells when reading and entering data.

EES Form Example for Standards 2 and 2.a
Standard/ Sub-standard IDStandard/Sub-standard DescriptionData ElementsData Sources and Review Results: Enter review results and/or data sourcesEnter ‘Findings’ using the applicable choice in the appropriate cells. Cells marked with an ‘*’ should not be edited.
2Database Extraction Function: Review of source data, preliminary data sets, and interim data sets (for example, programming code, spreadsheet formulas, analysis plans, saved data queries, file layouts, process flows) indicates the following:
  1. SOs accurately identify, process, and verify the population for each reporting section (including calculations for the number of members, claims, grievances, procedures, etc.). They apply QA checks/thresholds to detect outlier or erroneous data.
Data Sources:*
2.aSOs accurately identify, process, and verify the population for each reporting section (including calculations for the number of members, claims, grievances, procedures, etc.). They apply QA checks/thresholds to detect outlier or erroneous data.Review Results: