All,

 

Please see further clarification on the FEMA declared weather related emergency or other major disaster SEP.  Note that the COVID-19 application ended on June 30, 2020.  A big shout out to ACL for obtaining clarity on this SEP. 

 

Ann

From: Simpson, Melissa (ACL) <xxxxxx@ACL.HHS.GOV>
Sent: Thursday, December 10, 2020 9:30 AM
To: xxxxxx@LIST.NIH.GOV
Subject: COREECTION: COVID ended 6/30/20 - RE: SEP for FEMA-Declared Weather-Related Emergency or Other Major Disaster: Applicable for COVID-19
Importance: High

 

Caution. This email is EXTERNAL.


Good morning.

 

Apologies for the confusion regarding current applicability of FEMA-declared disaster SEP with COVID-19. The COVID application ended 4 months from the beginning of the disaster automatically on June 30, 2020. 

 

Regards,

 

Melissa

 

From: Simpson, Melissa (ACL) <xxxxxx@ACL.HHS.GOV>
Sent: Wednesday, December 9, 2020 1:52 PM
To: xxxxxx@LIST.NIH.GOV
Subject: SEP for FEMA-Declared Weather-Related Emergency or Other Major Disaster: Applicable for COVID-19

 

Thank you for long hours, hard work, patience, and perseverance to support Medicare beneficiaries in 2021 Open Enrollment Period (OEP)!

 

As your teams continue OEP related work in coming months, remember beneficiaries unable to make an election due to a FEMA-Declared Emergency or Major Disaster may request a Special Enrollment Period (SEP) through 1-800-Medicare. Resources available to educate team members on FEMA-Declared SEP guidance include:

 

1.       CMS Frequently Asked Questions on the SEP https://www.cms.gov/Medicare/Eligibility-and-Enrollment/MedicareMangCareEligEnrol/Downloads/Disaster_SEP_QAs_for_Beneficiaries.pdf

2.       CMS Part D Drug Benefit Enrollment and Eligibility Page containing a link to Chapter 3 for FEMA-Declared SEP details page 42 https://www.cms.gov/Medicare/Eligibility-and-Enrollment/MedicarePresDrugEligEnrol/Downloads/CY_2019_PDP_Enrollment_and_Disenrollment_Guidance.pdf 

3.       CMS Memo 5/25/2020  SEP for FEMA-Declared Weather-Related Emergency or Other Major Disaster: Applicable for COVID-19

4.       FEMA websites to review declarations to check the applicable timeframes and geographic coverage areas. Listed below are current states impacted:

Major Disaster: https://www.fema.gov/disasters/disaster-declarations?field_dv2_state_territory_tribal_value=All&field_year_value=All&field_dv2_declaration_type_value=DR&field_dv2_incident_type_target_id_selective=All

·         Alabama

·         California

·         Louisiana

·         Oregon

·         All States for COVID-19 Pandemic

 

Emergency: https://www.fema.gov/disasters/disaster-declarations?field_dv2_state_territory_tribal_value=All&field_year_value=2020&field_dv2_declaration_type_value=EM&field_dv2_incident_type_target_id_selective=All&page=1

·         Florida

·         Mississippi

·         Alabama

·         Louisiana

·         Oregon

·         Arkansas

·         Texas

·         Puerto Rico

·         North Carolina

·         Virgin Islands

·         Hawaii

·         Michigan

·         All States for COVID-19 Pandemic

 

Regards,

 

Melissa Simpson

Office of Healthcare Information and Counseling

Administration for Community Living

330 C Street SW

Washington, DC 20201

phone: 202-795-7314

http://www.hhs.gov/acl

 

 

 


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