In The News
Kaiser Health News Long Term Care Ombudsmen Face Challenges to Independence (1-27-2013) NSCLC Directing Attorney Eric Carlson says that ombudsman programs outside of state governments are less subject to political pressure
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NSCLC Helps
Corazon, 72, came close to losing her adult day health care benefits because of a problem with managed care related to needed heart surgery…. Read More.
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Category Archives: Medicare Part D
2013 Transition Rights to Medications Under Part D
2013 Transition Rights to Medications Under Medicare Part D Transition Policy: A Critical Protection. The Centers for Medicare and Medicaid Services (CMS) requires that sponsors of Medicare Part D prescription drug plans provide beneficiaries with access to transition supplies of … Continue reading
No Part D Copayments for Medicaid HCBS Duals
Effective January 1, 2012, full-benefit dual eligibles receiving Medicaid home and community based services (HCBS) have no Medicare Part D copayments READ MORE — Information for Advocates. CMS Memo on Part D Waiver for Dual Eligibles.
Part D Transition Requirements for 2011
Medicare Part D Plans have received requirements from the Centers for Medicare and Medicaid Services on transition requirements for beneficiaries. In a handout developed for advocates who help clients with Part D transition issues, NSCLC has set out the Centers … Continue reading
Posted in Medicare Part D
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Medicare Plans Not Posting Translated Materials Leaving Spanish Beneficiaries in the Dark
Many Medicare Advantage plans and others that offer Medicare prescription drug coverage are not publishing materials in Spanish on their websites as required by their contracts as Medicare providers. This makes it especially difficult for many beneficiaries to make the … Continue reading
NSCLC Pushes for Language Access Protections in Health Plan Process
NSCLC recently commented on interim final regulations establishing internal claims and appeals processes that group and individual health insurance providers must follow. The rules included significant protections for limited English proficient plan enrollees like interpreter and notice translation requirements. NSCLC’s … Continue reading
Posted in Language Access, Medicare Part D
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Medicare Part D Exceptions & Appeals: A Practical Guide for Advocates
This guide provides detailed information for advocates on the Medicare Part D exceptions and appeals processes. Read Exceptions & Appeals Guide (April 2010).
Posted in Medicare Part D
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2010 Transition Rights to Medications Under Medicare Part D
To assist advocates with Part D transition issues, this brief sets out the CMS minimum requirements for all plans. Read 2010 Transition Rights. (January 2010)
Posted in Medicare Part D
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Best Practices: Serving Limited-English Proficient Medicare Part D Beneficiaries
Private health plans offering Medicare prescription drug coverage are responsible for providing prescription drug coverage to all qualified Medicare beneficiaries who are proficient in English as well as those whose English proficiency is limited. Read Best Practices: Serving LEP Medicare … Continue reading
