Professionals

Reimbursement for Vaccines and Vaccine Administration Under Medicare Part D

clewis — Mon, 07 Jan 2008 08:56:43 -0600

Vaccine Administration under the Part D Program starting January 1 st , 2008. The Tax Relief and Health Care Act (TRHCA) of 2006 modified the definition of a Part D drug to include “for [Part D] vaccines administered on or after January 1, 2008, its administration .” Consequently, beginning on January 1, 2008, the Part D program will cover vaccine administration costs associated with Part D vaccines. Thus, the reimbursement currently available in 2007 under Part B will cease and reimbursement will be available solely under Part D.

Exceptions and Appeals How To

jwilliams — Mon, 26 Nov 2007 15:20:28 -0600

Q. My Medicare prescription drug plan does not cover all of my medications. What can I do to avoid paying full retail price for a prescription?

Step 1: Exceptions Process

The National Asian Pacific Center on Aging (NAPCA)

clewis — Sat, 13 Oct 2007 20:05:46 -0500

Has a National Toll-free Multilingual Helpline Center to assist API elders get direct bilingual enrollment assistance and access to translated information about the new Medicare Prescription Drug Benefit. When API seniors call this helpline, the can get language specific forms that help them determine their eligibility. They can even get help from NAPCA staff with completting the forms over the phone. Forms can also be downloaded directly from the NAPCA's Web site.

CMS Pharmaceutical Assistance Programs

clewis — Sat, 13 Oct 2007 19:47:22 -0500

CMS Perspective on Pharmaceutical Company Patient Assistance Programs

Information for Part D Sponsors on Requirements for a Transition Process

clewis — Sat, 13 Oct 2007 19:39:45 -0500

CMS review of plan formularies will ensure that plans offer a comprehensive array of drugs that reflects best practices in the pharmacy industry as well as current treatment standards.

Pharmacy Transition Policies

clewis — Sat, 13 Oct 2007 19:35:51 -0500

As we move to the end of the first week of implementing the Medicare Drug Benefit, we need to remind all Part D sponsors again of the transition policy requirements that must be upheld. It is critical that transition policies operate in a manner that ensures enrolled beneficiaries get their needed first prescriptions filled at the point-of-sale.

Transition Fact Sheet

clewis — Sat, 13 Oct 2007 19:30:45 -0500

DEPARTMENT OF HEALTH & HUMAN SERVICES
Centers for Medicare & Medicaid Services
Room 303-D
200 Independence Avenue, SW
Washington, DC 20201
Office of External Affairs

MEDICARE FACT SHEET
FOR IMMEDIATE RELEASE CONTACT: CMS Media Affairs
March 31, 2006 (202) 690-6145

Medicare Parts B/D Coverage Flashpoints

clewis — Sat, 13 Oct 2007 19:07:35 -0500

This table provides a quick and easy reference guide for the most frequent B/D coverage determination scenarios facing Part D plans and Part D pharmacy providers. It does not address all potential situations. For more extensive discussion, please refer to the Medicare Part B vs. Part D Issues document available at: http://www.cms.hhs.gov/PrescriptionDrugCovGenIn/Downloads/PartBandPartDdoc_07.27.05.pdf

POS Faciltated Enrollment Process in 4 Steps - for Pharmacists

clewis — Tue, 09 Oct 2007 16:07:51 -0500

Point-of-Sale Facilitated Enrollment of Dual Beneficiaries - 12 Step Process

clewis — Tue, 09 Oct 2007 15:58:10 -0500