First Call After D Day

Medicare Conference Call
Wednesday, January 4, 2005
3:00 PM Eastern Time

CMS Resources

• CMS has released information on using the income spend-down available to some Medicaid recipients and about the medical expense deduction from gross income to cover certain prescription drug costs that nursing home residents who are duals might otherwise have to pay out-of-pocket.
• Point of Sale Tools
• Point of Sale Facilitated Enrollment Process
• Q & A About Point of Sale Process
• Update on WellPoint and the Point of Sale Process
• A short reference document that provides quick answers to FAQ for processing claims for dual eligibles
• A set of "what if" scenarios designed specifically for pharmacists which should be useful for resolving some of the more common issues that may arise for beneficiaries
• Transition Tools
• PDP Transition Policies
• MA-PD Transition Policies
• Tip Sheet for Employer and Union Plan Sponsors
• Auto Enrollment Crosswalk.  This Excel Document lists the following information for PDPs: State, Plan Name, Customer Service Phone Number, Contract ID Number, BIN Number, and PCN Number.

SSA Resources

• Final SSA Rules on the Low-Income Subsidy: On December 30, 2005, final rules on how the Social Security Administration (SSA) is to determine eligibility for Medicare Part D low-income subsidies were released.

HAP Resources

• Helpful Information to Share with Pharmacists Serving Medicare Beneficiaries
• Other Part D Transition Resources