Convenient Access to LTC Pharmacies

Recently, CMS has been made aware that Part D sponsors may not have been provided with addresses that would help them: (1) confirm that a beneficiary is institutionalized, and (2) identify the particular long-term care (LTC) facility in the sponsor’s service area in which those enrollees reside. We have also heard of difficulties associated with contracting efforts between Part D sponsors and State-operated pharmacies serving beneficiaries in institutions for mental disease (IMDs) and intermediate care facilities for the mentally retarded (ICFs-MR) designated by States as institutions. This memorandum provides guidance to Part D sponsors on both these issues.

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MemoLTCConvenientAccess_06.01.07.pdf	76.46 KB