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Please scroll down to the bottom of the page for downloadable materials and helpful links. Please note the number in bracket next to a bold item in the page content corresponds to the downloadable item or link at the bottom of the page. {10} Guide to CMS, SSA and Plan Mailings--Summer and Fall 2008: This chart explains the mailings that beneficiaries will receive. It also details the action, if any, the beneficiary should take. Additionally, links to the notices are included in the document. {9} Re-assignment Notice: The notice makes people who will be re-assigned for coverage effective January 1, 2007 aware of the changes. [The version that will be mailed in fall 2008 will be posted this fall 2008] Re-deeming Notices and Fact Sheets: Some people with Medicare will be affected by changes in their qualifying status for the Medicare prescription drug coverage "low income subsidy" (LIS), otherwise known as "extra help" in paying for their prescription drugs. To help partners with questions that people with Medicare may have about this, we have posted information below-- both the {7}Re-deeming Notices and {8} "Changes in Qualifying for Extra Help in 2008: Materials for Partners and People with Medicare." {6}Notices of Facilitated Enrollment This notice informs people with Medicare that because they qualify for extra help, Medicare will enroll them in Medicare Prescription Drug Plans to make sure they get help paying for their prescription drug costs, if they don't enroll themselves or decline coverage. There are two versions of the notice: one for those who qualify for the full low-income subsidy and one for those who qualify for the partial low-income subsidy. Each version includes two pages. The first page is a letter printed on green paper with a list of plans for each region that have premiums at or below the benchmark on the back. The other page (front and back) includes questions and answers about Medicare prescription drug coverage. **Please note the large number of pages before printing.** For the Spanish version of the model language, please click on Materials in Spanish. {4}Notice of Action: Reduction of Benefits As of January 1, 2006 individuals who are eligible for Medicare are no longer receiving their prescription drug coverage under Medicaid. 42 CFR Part 431 Subpart E requires the State agency to issue a Notice of Action if Medicaid covered services are terminated or reduced. States are legally obligated to issue a Notice of Action to dual eligibles advising them that their prescription drug coverage under Medicaid is reduced or terminated. States have requested guidance regarding the content of the Notice of Action. CMS has developed suggested language that States may choose to use when composing their notices. States are encouraged to adapt this model as appropriate for their specific programs. {3}Auto-Enrollment Notice The purpose of this auto-enrollment notice is to inform people with Medicare and full Medicaid coverage about the change in their drug coverage from Medicaid to Medicare. The notice explains that these individuals will be enrolled in a Medicare Prescription Drug Plan if they don't join a plan by the end of the year, what plan Medicare will enroll them in, and their costs in the plan. It will also notify them that their Medicaid isn't creditable prescription drug coverage. The notice includes a one-page letter, and two pages of questions and answers about Medicare prescription drug coverage. {2}Monthly Deemed Notice The purpose of the notice is to make people who automatically qualify for extra help paying for prescription drugs aware that Medicare prescription drug coverage is available to them, and to let them know that they will get extra help without needing to apply for it. {1}Model Language for State Letters to Medicaid Beneficiaries Model Language for State Letters to Medicaid beneficiaries about the new Medicare prescription drug coverage. For the Spanish version of the model language, please click on Materials in Spanish.
Page Last Modified: 09/25/2008 6:23:58 PM
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