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Medicare Part D Resources

 

With the advent of 2006 we find that the Medicare Part D Prescription Drug Benefit is upon us. Many health-system pharmacists and pharmacy technicians will not be directly affected by this new government program but all of us will face questions from family, friends and even complete strangers who find out what you do. For those who will have to deal with Medicare Part D on a daily basis, we hope this new page will provide you with the resources you need to serve your patients efficiently and effectively. For those who face the occasional question, we know this will be helpful. We will continue to add new documents, useful Websites and more to help you and your staff respond to this major government program.

Center for Medicare and Medicaid Services Medicare Part D Website

Part D Plan Pharmacy Support Telephone Directory

Medicare NPI Implementation Schedule

The following resources require Adobe Acrobat Reader to view. If you do not have Acrobat Reader you can download it from www.adobe.com.

2008 Part D Vaccine Administration Policy is Final…

The Tax Relief and Health Care Act of 2006 (TRHCA) modified the definition of a Part D drug to include “for vaccines administered on or after January 1, 2008, its administration.” CMS released detailed operational guidance today related to administration fees for Part D vaccines in 2008. This presents an opportunity for pharmacists to play an expanded role in vaccine administration for Medicare Part D beneficiaries in 2008. Please see the paper (MemoVaccineAdministration_05.14.07.pdf) to review the policy.

 

Handling Medicare Part D Prescription Drug Plan Complaints Tip Sheet

This link will provide you a useful tool set for assisting patients in the Low Income Subsidy level for Medicare Part D. (zip file)

Q & A for Long-term Care Contracts

CMS Administrator McClellan Discusses AMP at NCPA Meeting

End of Program Guidance for Pharmacists

Guidance for Mid-year Formulary Changes

Special Enrollment Period for Low Income Subsidy Qualified Beneficiaries

Self-Administered Medication

Medicare Part D Sales Tax Q & A

Information on institutionalized Full Benefit Dual Eligibles including post eligibility considerations on co-pays, deductibles, and the coverage gap

Encouraging Early in the Month Enrollment

CMS Advisory on 30-day Billing Limits

Clarification of Drugs included/excluded from Medicare Part B & D

Prescription Niacin excluded from Medicare Part D

Tips to simplify differentiating between Part B and Part D in Long-term Care

Report of the Secretary of HHS after 1 month with Medicare Part D

Pharmaceutical Manufacturer Assistance Programs and Medicare Part D

CMS letter of January 27, 2006 to Health Care Professionals.  Help with Dual eligibles.

An open letter to partners from Dr. Mark B. McClellan, CMS Administrator, regarding the current status of implementation of the Medicare drug benefit. This letter contains details about improvements being made to the operation of this new program.

Transition policy reminder: CMS has sent out an open letter to Medicare Part D Plan Sponsors reminding them to ensure that transition policies are being followed as recipients begin to utilize services at the beginning of the year.

Adm. Premium Cost Sharing: This is the final rule regarding Medicare Part D subsidies. CMS has published these rules and made them available to pharmacists who are interested in assisting low-income patients as they seek an appropriate plan and coverage.

Medication Therapy Management (MTM) is an important component of the New Medicare Prescription Benefit that began January 1, 2006. CMS recently posted a list of PDP contacts for MTM on the CMS website. The link below will direct you to the site. http://www.cms.hhs.gov/PrescriptionDrugCovContra/Downloads/MTMcontacts_12.14.05.pdf



Tips for Increasing Match Rates for Beneficiary Eligibility Responses
Pharmacy Transactions
Long Term Care Plan Information & Procedures
Wellpoint Q & A
Medicare Part D Transition Policy
NDCHealth Medicare Part D Eligibility Solution for Retail Pharmacies