More Solutions

Medicare Network Conference Call
February 22, 2006
3:00 PM Eastern Time 

New and Noteworthy

HAP has redesigned the system for answering your email requests for information or assistance.  Please send all Technical Assistance (TA) requests to the Medicare Team at the Health Assistance Partnership: shiphelp@healthassistancepartnership.org.

PowerPoint Presentation

• More Solutions for Part D

Tools and Resources

• Model Coverage Determination Request Form
• Instructions Model Coverage Determination Request
• Request for Prescription Information or Change Form.  This general fax form has been approved for use by CMS. It was developed by the Center for Medicare Advocacy, along with The Alzheimer's Association, American Medical Association, American Pharmacists Association, Medical Group Management Association, National Community Pharmacists Association and the National Council on the Aging as a form for pharmacists to fax to physicians when there are issues with their Medicare patients' prescriptions.
• CMS Appointment of Representative Form
• Letter to Providers: Assisting Beneficiaries with Appeals, Coverage Determinations, and Exceptions
• Plan Exceptions and Appeals Contact List
• Request for Reimbursement from a Medicare Part D Plan: What You Need to Know (Tip Sheet)

  • Request for a Coverage Determination: Sample letters for enrollees requesting a reimbursement from their drug plan during a transition period
  • Beneficiaries entitled to "Extra Help," but charged more than the "Extra Help" amounts
  • Beneficiaries who paid out-of-pocket because they did not receive their "transition fill"