Coordination of Benefits between Part D Plans and Other Prescription Coverage Providers

Part D Coordination of Benefits Data (CMS-10171)

SPAPQuickReferenceGuide (1)

Coordination of Benefits between Part D Plans and Other Prescription Coverage Providers

OMB: 0938-0978

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SPAP/ADAP Attestation Quick
Reference Guide:
How to Manage and Submit
SPAP/ADAP Attestations

Table of Contents
Introduction ................................................................................................................................ 1
Getting Started: How to Access the SPAP/ADAP Start Page ..................................................... 2
How to Enter Data for an Initial ADAP or SPAP Attestation ........................................................ 4
How to Delete an Initial ADAP or SPAP Attestation Before It Has Been Submitted ................. 12
How to Submit an Initial ADAP or SPAP Attestation ..................................................................15
How to Edit an Attestation .........................................................................................................20
How to Submit an Annual Attestation for an Existing SPAP/ADAP ............................................23
How to View Reports.................................................................................................................27

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INTRODUCTION
State users will use the Health Plan Management System (HPMS) of the Centers for Medicare
& Medicaid Services (CMS) to submit their attestations for State Pharmaceutical Assistance
Programs (SPAPs) and AIDS Drug Assistance Programs (ADAPs). The SPAP/ADAP module in
the HPMS enables users to manage program attestation data; upload supporting documents as
needed; certify and attest to the conditions of the program; review, update, and electronically
sign the attestation; and view reports.
NOTE: For initial SPAP/ADAP attestation submissions, only state users who have been
assigned the HPMS access to electronically sign and submit attestations may submit the
attestations.

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GETTING STARTED: HOW TO ACCESS THE SPAP/ADAP START
PAGE
1. Launch a web browser and enter https://hpms.cms.gov in the address bar to advance to

the HPMS Home page.

2. On the HPMS Home Page, select Contract Management in the top navigation bar. Then,

click SPAP/ADAP Attestation in the flyout menu.

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The SPAP/ADAP Start Page displays.
NOTE: To access a page directly from the HPMS Home Page in future, click the Add to My
Favorites link in the top right of the page the user wishes to access. On the HPMS Home
Page, click the My Favorites tab to access the Favorite.

3. To expand/contract the SPAP/ADAP menu, click the right-hand SPAP/ADAP menu bar.
Expanding the menu enables the user to access all links from any SPAP/ADAP page.

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HOW TO ENTER DATA FOR AN INITIAL ADAP OR SPAP ATTESTATION
1. On the SPAP/ADAP Start Page, click New in the menu.
2. On the Enter New Attestation program-type selection page, select ADAP or SPAP, and click
Next.
NOTE: The sample screenshots below show ADAP data entry fields, but the data-entry process is
the same for ADAP and SPAP.

3. On the Program Information page, enter the applicable data.

HPMS

•

The highlighted tab at the top of a data-entry page identifies the page the user is on.

•

On all data-entry pages, required fields are marked with an asterisk (*).

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User Tips:

HPMS

•

Click Save & Next to save data and advance to the next data-entry page.

•

Click Save to save data and refresh the page to display a Note confirming data has been
saved and providing the Attestation Number.


The user can exit the HPMS and return later to complete data entry.



To resume data entry, refer to “How to Edit Attestation Data” in this guide.

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4. After entering data, click Save & Next. Required data must be entered before saving.
5.

On the Contact page, the Attestation Number displays. Note it down for future reference.
•

If data fields are populated: A state user from the same state has already entered the
contact data. This contact data applies for all SPAP/ADAP programs in that state. Users
can update the data on this page.

•

If data fields are blank: Enter data.

6. After entering/reviewing/updating data, click Save & Next.
7. On the Eligibility page, enter the applicable data.
NOTE: On this and subsequent pages, some fields become enabled/disabled based on user
selections.
8. If entering an ADAP, users must select “Yes” for the “Is SPAP/ADAP eligibility disease/condition
dependent?” question and must click the related “HIV/AIDs” checkbox.

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9. To access the Medicare & You Handbook, click the LIS link mid-page.

10. After entering data, click Save & Next.
11. On the Enrollment page, enter data.
12. A user who selects “Non-random assignment” for the state’s enrollment/assignment process will
be required to attach an Algorithm document on the Attach Documents tab.

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13. After entering data, click Save & Next.
14. The Attach Documents summary page indicates whether the user is required to upload an
Algorithm to support the attestation. To attach a file, click Add.

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15. On the Attach Documents page, do the following:
•

Make a selection from the Document Type drop-down menu.

•

Click Browse to locate the document to upload.

•

Click Upload. If an error displays, correct the file and re-upload.

16. After a successful upload, the user advances to the upload summary page, which displays details
about the uploaded file.
If a file was uploaded in error, and the user wishes to re-upload, select the file to delete and click
the Delete button.
17. After all files have been successfully uploaded, click Save & Next.

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18. On the Assurances page, select all the checkboxes except for Data Sharing Agreement.
19. Click Save & Next.

20. On the Confirm Attestation page, review the data.
21. If applicable, enter additional information in the Additional Information textbox.
22. Click Back to make corrections or click Confirm.

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23. On the Confirmation page, the Attestation Number displays. Note it down for future reference.
24. To begin a new attestation, click Back to return to the Enter New Attestation program-selection
page.
25. For more options, click the SPAP/ADAP menu bar.

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HOW TO DELETE AN INITIAL ADAP OR SPAP ATTESTATION BEFORE IT HAS
BEEN SUBMITTED
After an attestation has been created, a state user can delete the attestation prior to its being
electronically signed and submitted.
1. Click Delete in the menu.
2. On the attestation-selection page, enter or select the Attestation Number.

3. The user advances to the Delete Attestation review page. Review the information.
4. Click Delete.

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HPMS

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5. The user advances to a Confirmation page. Click the SPAP/ADAP menu bar for more
options.

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HOW TO SUBMIT AN INITIAL ADAP OR SPAP ATTESTATION
Only state users who have been assigned the HPMS access to electronically sign and submit
attestations can perform this step.
1. On the SPAP/ADAP Start Page, click Edit in the menu.
2. On the attestation-selection page, enter or select the Attestation Number.

3. The user advances to the Program Information page, as identified by the highlighted
tab at the top of the page.

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4. To review data, click the desired tab.
5. To electronically sign and submit the attestation, click the Assurances tab.
6. On the Assurances page, review the information, and click to select the checkbox for
the Data Sharing Agreement.
The checkbox requires the user to click the hyperlink to display the information to be
reviewed. Users cannot proceed without reviewing this information.

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7. Click Save & Next.
8. On the Submit Attestation page, review the data.
9. Enter additional information, if applicable, in the Additional Information textbox.
10. Click Back to make corrections. Or, click Submit.

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11. The user advances to the Confirmation page.

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12. To submit another attestation, click Back to return to the attestation-selection page.
13. For other options, click the SPAP/ADAP menu bar.

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HOW TO EDIT AN ATTESTATION
The user can use the Edit function to:
• Update the BIN, PCN, and/or Contact information of an approved attestation.
• Update and resubmit the data for an attestation that CMS has rejected.
• Update/complete an attestation that was saved before data-entry was complete.
1. On the SPAP/ADAP Start Page, click Edit from the menu.
2. On the attestation-selection page, enter or select an Attestation Number. Only approved
or not-yet-submitted Attestations display in the selection list.
3. Click Next.

4. The user who wishes to:
• Edit data will advance to the Program Information tab. Click tab(s) to edit data,
using the Save and/or Save & Next buttons as appropriate.
• Resume data entry after using the Save button will advance to the tab where
the user exited. Refer to Section I. above to pick up where the user left off.
5. On the SPAP/ADAP Start Page, click View from the menu.
6. On the attestation-selection page, enter or select an Attestation Number. Then, click
Next.

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7. On the View Attestation results page, the user can click Create PDF to save the details
of the Attestation.

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HPMS

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HOW TO SUBMIT AN ANNUAL ATTESTATION FOR AN EXISTING
SPAP/ADAP
1. On the SPAP/ADAP Start Page, click Edit from the menu.
2. On the attestation-selection page, enter or select the Attestation Number.
3. The user advances to the Program Information page, as identified by the highlighted
tab at the top of the page.
• The user must answer the “Do you currently have a Data Sharing Agreement
(DSA) in place?” question.
• Make edits as applicable to this page.

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4. Click Save and Next.
5. The user advances to the Contact tab page. Follow the same instructions to edit data on
this page, and other pages by clicking the appropriate tab. (For data-entry instructions
tab by tab, see “How to Enter Data for an Initial SPAP or ADAP” section above.)
6. To electronically sign and submit the attestation, click the Assurances tab.
7. On the Assurances page, review the information, and click the checkboxes. The last
checkbox requires the user to click a link to display information to be reviewed. Users
cannot proceed without reviewing this information.

8. Click Save & Next.
9. On the Submit Attestation page, review the data.
10. Enter additional information, if applicable, in the Additional Information textbox.
11. Click Back to make corrections or click Submit.

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HPMS

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12. The user advances to the Confirmation page.

13. Click Back to return to the Edit Attestations attestation-selection page. For other
options, click the SPAP/ADAP menu bar.

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HOW TO VIEW REPORTS
1. Click on SPAP/ADAP Reports in the menu.
2. On the Select a Year page, make a year selection. Then, click Next.

3. Select a report from the picklist and click Next.
• The SPAP/ADAP Attestation Status Report displays SPAP/ADAP Attestation
Data.
• The SPAP/ADAP Change Report displays a comparison of changes to data
entry submitted by state users. (New for 2019)
• The SPAP/ADAP Email Distribution Report displays the details and recipients
of system-sent emails. (New for 2019)

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4. The user advances to the criteria-selection page. To make multiple selections in the
Attestation Number picklist, hold down the  key.
5. After choosing criteria to create a search, click Search.
6. On the report results page users can do the following:
• Click a column head to sort data.
• Click a link to view details.
• Click Download to Excel to download the report.

If you need technical assistance, contact HPMS@CMS.HHS.GOV.

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File Typeapplication/pdf
File TitleSPAP/ADAP Attestation Quick Reference Guide: How to Manage and Submit SPAP/ADAP Attestations
AuthorSoftrams
File Modified2020-04-17
File Created2020-04-17

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