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Medicare Part D Reporting Requirements Issued by CMS
 
Posted on: Friday, January 6, 2006
 
On December 30, 2005 the Centers for Medicare and Medicaid Services (CMS) posted the following instructions on their website to instruct Employer Medical Plan Sponsors as to their responsibility to disclose whether the medical plan(s) they offer are Medicare Part D “Creditable” or “Non-Creditable.” You, or an authorized representative in your organization, should follow the links below and submit the Disclosure form per the instructions as soon as possible. This is not the responsibility of, and will not be done in your behalf by, your TPA or Insurer.

The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 requires entities that provide prescription drug coverage to Medicare Part D eligible individuals to disclose to CMS whether the coverage is creditable or non-creditable. CMS has issued guidance on the form, manner and timing of providing the Disclosure Notice to CMS. This Disclosure to CMS guidance is posted on the http://www.cms.hhs.gov/CreditableCoverage/ web page.

An entity is required to provide the Disclosure Notice through completion of the Disclosure Notice form on the CMS Creditable Coverage Disclosure Web Page at http://www.cms.hhs.gov/apps/ccdisclosure/default.asp unless specifically exempt as outlined in the Disclosure to CMS guidance. Additional information about creditable coverage is available on CMS’ Creditable Coverage web page at http://www.cms.hhs.gov/CreditableCoverage.

The vast majority of employer plans do provide "Credible Coverage." Full Medicare Part D details are available in our Web article Medicare Part D – What Employers Need to Know.


Should you have any additional employee benefit questions or would like to discuss this material in detail, please don’t hesitate to call the Denman Team.