Medicare Advantage, Part D, Medicaid

CMS MA / Part D agent and broker compensation limits (FMV initial and renewal caps, referral fee caps), CY2019-CY2027

medicare_silver.ma_partd_agent_broker_compensation_limit_v1·live·silver
Rows
118
Columns
29
History
N/A
Card
nocolumns only
Typed tools
0

What it is

  1. 1The most an MA organization, 1876 cost plan or PDP sponsor may pay an independent agent or broker each contract year, as CMS's annual HPMS memo prints it: fair market value for an initial enrollment, the renewal cap (at most 50% of FMV), and the referral/finder's fee cap;
  2. 2MA by jurisdiction (national;
  3. 3CT, PA, DC;
  4. 4CA, NJ;
  5. 5PR, VI), PDP national.
  6. 6Each row cites its memo, page and regulation.
  7. 7A regulatory ceiling, not what any plan pays.

Grain

KeyGrain
N/A
  1. 1One plan_year x program (MA / PDP) x payment type (initial, renewal, referral) x jurisdiction x memo version.
  2. 2118 rows CY2019-CY2027;
  3. 3CY2025 carries two memos (12 current + 12 superseded;
  4. 4Athena d2b07c0d, 2026-10-13).

Columns (29)

ColumnTypeMeaning
plan_yearint
programstring
applies_tostring
payment_typestring
jurisdictionstring
jurisdiction_statesstring
amount_usdint
cap_rulestring
memo_statusstring
superseded_by_doc_idstring
effective_startdate
effective_enddate
doc_idstring
source_doc_titlestring
memo_datedate
memo_signerstring
source_urlstring
source_page_urlstring
source_memberstring
page_numberint
section_citationstring
regulatory_basisstring
rounding_notestring
doc_sha256string
zip_sha256string
bronze_keystring
asserted_atdate
parser_artifact_hashstring
sha256_content_hashstring

Query it

describe_data_source(source_fqn="medicare_silver.ma_partd_agent_broker_compensation_limit_v1")     # the card, live
query_substrate(sql="SELECT * FROM medicare_silver.ma_partd_agent_broker_compensation_limit_v1 WHERE <filter> LIMIT 100")
ItemValue
Typed tools that read itnone; raw SQL
Identity keyplan_year,program,applies_to,payment_type,jurisdiction,doc_id
Joinhow_to_join(source_fqn="medicare_silver.ma_partd_agent_broker_compensation_limit_v1")
Raw doorAthena (read-only via query_substrate): medicare_silver.ma_partd_agent_broker_compensation_limit_v1
NoteRegistered 2026-10-13 by the Data Tracker registration lane (PR claude/tracker-registration-2026-10-13) after the cloud load of #3557: 118 rows = the cited seed, re-read from bronze by an independent pypdf reader (Athena d2b07c0d). Door RAW, World W3.

This page as markdown: /docs-md/data/medicare_silver_ma_partd_agent_broker_compensation_limit_v1.md · every page in one file: /llms-full.txt