NSCLC Website

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Exceptions and Appeals Tools

NSCLC Website<- Areas of Expertise<- Medicare Part D<- Advocate Resources<- Exceptions and Appeals Tools

Transition Drug Supplies: CMS Requirements and Policies of Selected California Plans PDF document — 164 KB

A tool for advocates which outlines CMS requirements and plan policies regarding transition supplies (January 2008)...

Medicare Part D - Materials for Advocates: Exceptions and Appeals, A Practical Guide (October 2007) PDF document — 708 KB

NSCLC's newly updated Practical Guide for low income advocates filing Medicare Part D exceptions and appeals. ...

EXCEPTIONS AND APPEALS: Summary of Chapter 18 of the CMS Prescription Drug Benefit Manual PDF document — 224 KB

NSCLC's summary and analysis of the chapter regarding enrollee grievances, coverage determinations, and Appeals (Updated September 2006)...

Model Part D Exceptions/Coverage Determination Request Form - Plans REQUIRED to accept this form! PDF document — 140 KB

Click here to download the CMS-approved Coverage Determination Form. Plans must accept this form....

CMS prefered form for appointing a representative....

More information on Part D can be found in the Part D library section of our site. Click here to go directly to that section...