Sharing this CMS memo to Part D plans regarding the process for Extra Help/LIS redeterminations for 2024; content summarized below:
This is the annual routine guidance with information to plan sponsors about:
• The process used by the Centers for Medicare & Medicaid Services (CMS) and the Social Security Administration (SSA) to redetermine Medicare beneficiaries’
low-income subsidy (LIS) eligibility;
• An optional grace period for individuals who will no longer automatically qualify for the Part D LIS in 2024;
• A special enrollment period (SEP) for individuals who lose their LIS eligibility;
• CMS’ expectations regarding Part D sponsors’ responsibility for conducting outreach to members who no longer automatically qualify for LIS in 2024
and steps sponsors may take to ease their members’ transition; and
• Two files from CMS to all Part D plan sponsors identifying individuals whom CMS has notified
about their loss of LIS in 2024.
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