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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.

2010 PDP ENROLLMENT & DISENROLLMENT GUIDANCE

The CMS has released an update to the existing enrollment and disenrollment guidance for Part D plans, as well as a summary of changes.  This updated guidance is effective for contract year 2010.  All enrollments with an effective date on or after January 1, 2010, must be processed in accordance with the revised guidance requirements, including new model enrollment forms and notices provided within the guidance.  Sponsors may, at their option, implement any aspect of this guidance (e.g., new model forms/notices) prior to the required implementation date.

Note: To locate the updated guidance from the list of documents below, look for the link names which include the date "August 19, 2009" to ensure you select the correct links.

 

Downloads

FINAL PDP Enrollment and Disenrollment Guidance Update for CY 2010  - August 19, 2009 [PDF, 1.3MB]

Summary of FINAL PDP Enrollment and Disenrollment Guidance Update for CY 2010 - August 19, 2009 [PDF, 84KB]

PDP Enrollment and Disenrollment Guidance for CY 2009 - July 16, 2008 FINAL [PDF, 588KB]

SUMMARY of PDP Enrollment and Disenrollment Guidance for CY 2009 - July 16, 2008 [PDF, 65KB]

Updated Attestation Forms for Reporting Creditable Coverage - January 14, 2009 [PDF, 283KB]

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

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]

 

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Page Last Modified: 08/18/2009 3:50:40 PM
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