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Low-Income Subsidy/Dual Eligibles
NSCLC Website<- Areas of Expertise<- Medicare Part D<- The Part D Library<- Government Agency Materials<- Low-Income Subsidy/Dual EligiblesSub-Sections
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CMS, LIS, Low Income Subsidy, Medicare Part D, SEP, Special Enrollment Period, auto-enrollment, benchmark, best available evidence, cost-sharing, data delays, low income subsidy, plans annual enrollment, reassignment,Click on the links below to view articles, manuals, reports and more relating to the Medicare Part D Low Income Subsidy and Dual Eligibles.
- Medicare Prescription Drug Benefit Manual
- Here you will find a link to the CMS Medicare Prescription Drug Manual which contains chapters on enrollment, marketing, exceptions and appeals, formulary requirements and more...
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Best Available Evidence Policy - UPDATE
PDF document —
96 KB
- Chlick here to see the BAE memo released by CMS as part of the Situ settlement agreement (August 4, 2008)...
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LIS Status Corrections Based on Best Available Evidence
PDF document —
234 KB
- June 27, 2007. CMS Memo to plans providing guidance for updating Low Income Subsidy information for individual LIS recipients for whom the plan has documentation of eligibility, i.e. "best available ...
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Special Transition Period for Retroactive Enrollment
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59 KB
- May 25, 2007. CMS memo describing plan requirements for reimbursing beneficiaries and third party payers for claims incurred during a period of retroactive eligibility ...
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Redetermination of Low-Income Subsidy (LIS) Eligibility for 2007
PDF document —
84 KB
- January 31, 2007. CMS memo regarding the timing of SSA redeterminaiton decisions...
- Status of Medicare Low Income Subsidy Applications Received
- December 29, 2006. SSA data on LIS applications...
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Reconciling CMS Low Income Subsidy (LIS) Status and "Best Available Data" Policy for 2006 and 2007
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91 KB
- December 6, 2006. CMS memo providing instructions to Part D plans for reconciling LIS status and implementing the best available data policy in 2006 and 2007. ...
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2007 Annual Enrollment Period (AEP) Processing Information
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28 KB
- November 22, 2006. CMS memo to plans includes important clarification of special enrollment periods for Low Income Subsidy eligible beneficiaries...
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Re-Determination of Low-Income Subsidy (LIS) Eligibility for 2007
PDF document —
80 KB
- October 5, 2006. CMS memo to plans encouraging plans to conduct outreach to members losing the LIS and permitting plans to offer these members a grace period...
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Reassignment of LIS-Eligible PDP Members Effective January 1, 2007
PDF document —
123 KB
- September 22, 2006. CMS memo to the plans regarding reassignment of LIS beneficiaries...
