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Medicare Part D Materials
NASMD Survey: Update on Part D Claims Reimbursement to States, Drug Coverage Policies, and the Medicare Savings Programs (5/22/2007)
CMS Memo on 402 Demonstration Reimbursement to SPAPs (4/6/2007)
CMS Notification of Part D Changes for 2008 (4/2/2007)
Summary of 2008 Part D Payment Updates and Medicare Advantage Rates (4/2/2007)
CMS Memo on March 31, 2007 Deadline for State-to-Plan Demonstration Claims - (3/21/2007)
CMS Sends Letter to Sec. Leavitt on Flawed Clawback Payments(.pdf) - (2-6-2007)
CMS Response to NASMD on Part D Claw back Methodology(.pdf) - (2-5-2007)
CMS Memo to Plans on LIS Re-determination(.pdf) - (1/20/2007)
Letter Regarding Proposed Rule with Comment Period: Medicare Program; Medicare Part D Data
Reconciling CMS Low Income Subsidy (LIS) Status and “Best Available Data” Policy for 2006 and 2007 (.pdf) - 12-6-2006
Clarification of Appendix 2 contained in Reconciling CMS Low Income (.pdf) - 12-22-2006
2006 Model Notice for Appendix 1 Less Than Effective (LTE) DESI Drugs (.pdf) - 12-22-2006
CMS Memo to Part D Plans Regarding Reconciling Incorrect Cost Sharing Paid by LTC Pharmacies (.pdf) - 12-22-2006
CMS Waives 2007 Late Enrollment Penalty for Low-Income Subsidy Beneficiaries (.pdf)
SMD on 2007 Resource and Cost-Sharing Limits for Low-Income Subsidy (LIS) (.pdf)
CMS Memo: Best Available Data Policy (.pdf) - 12/5/2006
CMS Memo: Enrollment File to Plans (.pdf) - 12/6/2006
State Clawback Payments
NASMD Letter to Leslie Norwalk Re: Part D (.pdf)
CMS Clarifications on De Minimis Premium Policy for LIS Beneficiaries (.pdf)(10/27/2006)
Q&A: One-Time State File on Reassignments of Medicare LIS Beneficiaries in PDPs (.doc)
SMD Letter on Medicare Part D Re-assignment for LIS Eligible Individuals (.doc) - 10/17/2006
CMS Updated Q&A on Discounted Drugs and TrOOP (.pdf) - 10/6/2006
General LIS information
State and county specific information on LIS Redeeming notifications
State Medicaid Director Letter on LIS Redetermination Process (.pdf)
Detailed Information on State Notification File Specification (.doc) - 9/26/2006
LIS-Redetermination 2007 File Specifications (.pdf)
Changes in Qualifying for Extra Help in 2007: Partner Sheet (.pdf)
Memo to PDPs on Re-assignment of LIS-eligible Individuals (.pdf) - 9/22/2006
Sample HHS Letter to Beneficiaries: Loss of Automatic LIS Qualification (.pdf)
Sample SSA Letter to Beneficiaries: Applying for LIS (.pdf)
Sample HHS Letter to Beneficiaries: Change in LIS Amount (.pdf)
CMS Q&A: Part D Eligibility and Notice Requirements and Retroactive Medicare Determinations (.doc) - 06/07/2006
Secretary Leavitt’s Progress Report on Part D Drug Benefit (.pdf) - 4/4/2006
Issue Packet on Prescription Drugs (.pdf)
CMS Tip Sheet- Extra Help (.pdf)
Medicare Beneficiary Ombudsman Forum (.doc)
CMS tips for enrolling in Prescription Drug Plans (.pdf)
Prescription Niacin Products Notice (.pdf)
CMS Letter to All Part D Sponsors (.pdf)
Part D Enrollment Fact Sheet (.pdf)
Medicare Parts B-D Coverage Flashpoints Table (.doc)
State Reimbursement Fact Sheet (.pdf)
Medicare Part D Model State Examples (.pdf)