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NEWSImportant Medicare Part B New Jersey News


 

 

Medicare-Approved Drug Discount Card & Transitional Assistance (TA) Program Information for Providers

Under the Medicare-Approved Drug Discount Card Program & Transitional Assistance (TA) Program, Medicare beneficiaries who are enrolled in Medicare Savings Programs (MSPs) as Qualified Medicare Beneficiaries (QMBs), Specified Low-Income Medicare Beneficiaries (SLMBs), or Qualifying Individuals (QI-1s) are deemed to meet the income requirement to receive TA ($600/year both in 2004 and in 2005 toward the purchase of prescription drugs).

The Centers for Medicare & Medicaid Services (CMS) is undertaking an initiative to increase TA enrollment for this low-income population by facilitating enrollment and providing a streamlined process for making the required attestations for TA. National drug card sponsors that are willing to participate will agree to follow simple procedures to facilitate TA enrollment for MSP beneficiaries.

Starting in mid-October, over one million people with Medicare received an “Important Message from Medicare” and a Medicare-approved discount drug card in the mail. People receiving this important message are likely to qualify for up to $1,200 in credits from Medicare to help pay for their prescription drug costs.

CMS has developed a “tool kit” of materials for health care professionals, and other partners to assist people with Medicare who can benefit from this opportunity to save money on their prescription drugs. Visit http://www.cms.hhs.gov/partnerships/news/autoenroll/default.asp to access the tool kit, which includes downloadable, printable materials, such as:

  • MSP Facilitated Enrollment Flier - A flier suitable for distribution in pharmacies, physician offices, and other public places.

  • Letter to Beneficiaries - This letter has been sent to people with Medicare from all approved drug card sponsors involved in the automatic enrollment effort.

  • ABC Coalition Partners - Listing of the Access to Benefits Coalition (ABC) members who are partnering with CMS to help beneficiaries understand the new choices coming their way.

  • Article from the Secretary - A question and answer with Secretary Tommy Thompson. This article is suitable for placement in community and local papers.

  • Public Service Announcements (PSAs) - The public service announcements are suitable for reading on the radio, and are 10-, 30-, and 60-second spots. (English version) (Spanish version)

  • Call! Enroll! Save! - This pamphlet provides basic information about the simple steps to get a Medicare-approved drug discount card and encourages people to enroll. It was mailed to low-income beneficiaries in early October.

  • Letter to Pharmacists - This letter has been electronically distributed through national pharmacy organizations and other interested parties to individual pharmacists, providing them with the letter to beneficiaries, and asking them to distribute a fact sheet.

  • MedLearn Matters Articles for Physicians & Other Health Care Professionals, and Pharmacists and Other Pharmacy Professionals - Articles from MedLearn (http://www.cms.hhs.gov/medlearn/matters) targeted to physicians and other health care professionals (SE0457) and to pharmacists (SE0458) with information about the discount card and $600 credit.

CMS Contractor Provider Education Resources Listserv (1102-01)

Posted: 11/03/2004

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CPT codes, descriptions, and other data only are copyright 2003 American Medical Association (or such other date of publication of CPT). All Rights Reserved. Applicable FARS/DFARS Apply.

 

   
 
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