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Medicare Prescription Drug Eligibility and Enrollment

Overview

This page contains enrollment and disenrollment guidance important to Prescription Drug plans.  This page also contains content for Part D plans receiving auto-enrollment, as well as guidance related to creditable coverage period determinations and the late enrollment penalty.

In addition to the guidance currently in effect, the final guidance update for plan year 2009 is available and becomes effective for all enrollment and disenrollment requests with effective dates of January 1, 2009 or later. Please note that certain aspects of this new guidance, such as new Special Election Period (SEP) and clarifications to existing SEPs, are effective immediately upon release of this new guidance; refer to the 2009 document for details.

 

Downloads

Update to PDP Enrollment and Disenrollment Guidance - July 16, 2008 FINAL [PDF, 588KB]

SUMMARY of PDP Enrollment and Disenrollment Guidance Update - July 16, 2008 [PDF, 65KB]

PDP Enrollment and Disenrollment Guidance - June 20, 2007 FINAL [PDF, 516KB]

SUMMARY of PDP Enrollment and Disenrollment Guidance Update - June 20, 2007 [PDF, 24KB]

NEW--Creditable Coverage LEP Guidance Update - April 11, 2008 [PDF, 260KB]

NEW--Creditable Coverage LEP Guidance - Reporting Information for Former Plan Members - November 26, 2008 [PDF, 52KB]

Creditable Coverage LEP Guidance - Chapter 4 [PDF, 210KB]

Additional Guidance for PDPs Receiving Auto-Enrollments [PDF, 24KB]

Auto-Enrollment Confirmation Notice for Individuals Identified as Out of Plan Area - Exhibit 24A [ZIP, 7KB]

Auto-Enrollment Notice to Individual's Estate for Those Identified in CMS Records as Recently Deceased - Exhibit 13A [ZIP, 4KB]

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Page Last Modified: 12/30/2008 7:40:35 PM
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