Leslie:
Ventura County in California as had no problems to date.
Respectfully,
Katharine Raley
HICAP Program Manager
County of Ventura Area Agency on Aging
646 County Square Drive, Suite 100
Ventura, CA 93003
Telephone: 805.477.7310
Fax: 805.477.7341
From: State grantees working on MIPPA [mailto:xxxxxx@simplelists.com]
Sent: Monday, February 26, 2018 4:29 PM
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Part B drugs and QMB protections - Leslie Fried
(26 Feb 2018 16:54 EST) |
Part B drugs and QMB protections by
Leslie Fried (26 Feb 2018 16:54 EST)
Reply to list
Hello all,
CMS has asked about problems with QMBs getting protection from co-pays for Part B drugs at retail pharmacies and what seemed to be the sticking points. There have been a couple of cases in California where the pharmacy staff wanted
to do the right thing but insisted that they were absolutely required to charge what the computer said. Have you run into this or other QMB billing scenarios for Part B in the last couple of years? CMS is trying to get a handle on typical ways the problem
presents itself both in the fee for service and MA-PD contexts. Any stories to tell, including ones where you ultimately got a good resolution?
Thanks,
Leslie
Leslie Fried, JD
Senior Director, Center for Benefits Access
Office: 571.527.3992
National Council on Aging
Improving the lives of millions of older adults
251 18th Street South, Suite 500
Arlington, VA 22202
ncoa.org | @NCOAging
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