CMS has authority to waive or modify requirements that hinder the design of, the offering of, or the enrollment in, Part D arrangements sponsored by employers or unions for their retirees. This waiver authority can assist employer and union plan sponsors to directly contract with Medicare to become Medicare Prescription Drug Plans (PDPs) and Medicare Advantage plans that include prescription drugs (MA-PDs), as well as to contract with existing PDPs and MA-PDs to provide enhanced Medicare prescription drug coverage to their retirees. This page provides links to guidance documents relating to Part D group waivers.

Downloads
2009 MA Local Coordinated Care Plans Employer Group Waiver (04/11/08) (PDF, 77KB) *NEW* 2009 Employer Waiver - MA PDP Dual Enrollment (07/23/07) (59KB) *NEW* Employer Waiver - Low-Income Premium Subsidy Clarification (07/23/07) (62KB) *NEW* 2008 Employer Group Waiver Policy - Elimination of the Requirement for Entities Offering EGWPs to Submit Part D Bids (02/28/07) (PDF, 56KB) Contract Year 2007 Determinations - Requests for Additional Waivers of Requirements from Entities Offering, Sponsoring or Administering Employer/Union Sponsored Group Plans (12/18/06) (PDF, 101KB) 2008 Employer Group Waiver Policy - Elimination of the "Nexus" Test for PDPs, Non-Network PFFS and MSA plans and Service Area Extension for Certain MA Local Coordinated Care Plans (11/13/06) (PDF, 64KB) Request for Additional Waivers of Requirements from Sponsors of 2006 Employer/Union-Only Group Plans (1/25/06) (PDF, 70KB) 2006 Bidding Guidance for Employer/Union Direct Contract PDPs and Part C and Part D Plans Offering Employer-only Group Plans (06/02/05) (PDF, 28KB) Employer-only Plan Formulary Submission Questions and Answers (5/19/05) (PDF, 12KB) 2006 Employer/Union-Only Non-Network Private Fee-For-Service (PFFS) Plan Service Area Waiver Guidance (06/23/05) (PDF, 12KB) 2006 Employer/Union-Only Regional PPO (RPPO) Plan Service Area Waiver Guidance (06/23/05) (PDF, 26KB) Additional Part D Waiver Guidance for Employer/Union Retiree Coverage (04/06/05) (PDF, 77KB) Additional Part D Waiver Guidance for Employer/Union Retiree Coverage (03/09/05) (PDF, 65KB) Part D Waivers Guidance for Employer/Union Retiree Coverage (02/11/05) (PDF, 38KB)
Related Links Inside CMS
Creditable Coverage Overview Page Employer & Union Plan Sponsor Information Overview Page Employer & Union Retiree Drug Subsidy Overview Page Prescription Drug Coverage Contracting Overview Page Prescription Drug Coverage Contracting Application Page (including 2008 NOIs) Medicare Advantage Applications Page
Related Links Outside CMS
There are no Related Links Outside CMS

Page Last Modified: 04/24/2008 1:18:21 PM
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