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Recently, the Centers for Medicare & Medicaid Services (CMS) announced
that beginning June 1, 2016, Medicare Part D prescription drug benefit plans
may not cover drugs prescribed by providers who are not enrolled in (or
validly opted out of) Medicare, except in very limited circumstances. However,
to allow prescribers to have sufficient time to complete their enrollment
activities, CMS has delayed the enforcement of the Part D Prescriber Enrollment
Requirements until February 1, 2017.
CMS also strongly encourages prescribers of Part D drugs (except those who
meet the definition of "other authorized prescribers") to submit their Medicare
enrollment applications or opt-out affidavits to their Medicare Administrative
Contractors (MACs) before August 1, 2016. This should provide the MACs with
sufficient time to process the prescribers' applications or opt out affidavits
and thus prevent prescription drug claims associated with their prescriptions
from being rejected by Part D plans beginning February 1, 2017.
For more information, visit CMS's website.
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