FW: Updated Guidance on Outreach for Information to Support Coverage Decisions
Leslie Fried 23 Feb 2017 22:12 UTC
Hello All,
Sharing this Memo from CMS regarding Plans responsibility to reach out to providers to get information needed to decide a Part D appeal.
Best,
Leslie
Leslie Fried, JD
Senior Director, Center for Benefits Access
Phone: 571.527.3992
xxxxxx@ncoa.org
National Council on Aging
Improving the lives of millions of older adults, especially those who are struggling
251 18th Street South, Suite 500
Arlington, VA 22202
ncoa.org | @NCOAging
-----Original Message-----
From: HPMS [mailto:xxxxxx@cms.hhs.gov]
Sent: Wednesday, February 22, 2017 4:26 PM
To: Leslie Fried <xxxxxx@ncoa.org>
Subject: Updated Guidance on Outreach for Information to Support Coverage Decisions
Please see the attached memorandum entitled "Updated Guidance on Outreach for Information to Support Coverage Decisions" from Jerry Mulcahy, Director, Medicare Enrollment & Appeals Group. This memorandum provides clarifying information regarding CMS' expectations for Medicare Advantage Organizations and Part D plan sponsors to conduct outreach to providers and prescribers when the plan does not have all necessary information to make a coverage decision.
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