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CMS is Moving Plan and Benefit Justification Forms to MPMS

A major change is coming for health plan issuers—CMS is restructuring how Plan and Benefit Justification Forms are handled. Starting in 2026, issuers will no longer upload Justification Forms alongside their Plan and Benefit Templates. Instead, CMS will generate them post-submission through the MPMS portal, limiting issuer control and introducing new timing challenges. In this episode, we break down: How the new MPMS Justification Form process works What issuers need to do to prepare for compliance changes Why early validation and version control will be critical moving forward #CMSRegulations #HealthPlans #MPMS #PlanSubmission #HealthcareCompliance
Broadcast on:
12 Mar 2025

A major change is coming for health plan issuers—CMS is restructuring how Plan and Benefit Justification Forms are handled.

Starting in 2026, issuers will no longer upload Justification Forms alongside their Plan and Benefit Templates. Instead, CMS will generate them post-submission through the MPMS portal, limiting issuer control and introducing new timing challenges.

In this episode, we break down:

  • How the new MPMS Justification Form process works
  • What issuers need to do to prepare for compliance changes
  • Why early validation and version control will be critical moving forward

#CMSRegulations #HealthPlans #MPMS #PlanSubmission #HealthcareCompliance

A major change is coming for health plan issuers—CMS is restructuring how Plan and Benefit Justification Forms are handled. Starting in 2026, issuers will no longer upload Justification Forms alongside their Plan and Benefit Templates. Instead, CMS will generate them post-submission through the MPMS portal, limiting issuer control and introducing new timing challenges. In this episode, we break down: How the new MPMS Justification Form process works What issuers need to do to prepare for compliance changes Why early validation and version control will be critical moving forward #CMSRegulations #HealthPlans #MPMS #PlanSubmission #HealthcareCompliance