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
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