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Reminder: Important message for providers who prescribe drugs for Medicare patients

January 29, 2016

Beginning June 1, 2016, the Centers for Medicare & Medicaid Services will enforce a requirement that 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. Therefore, for providers not currently enrolled in Medicare, unless you enroll (or validly opt out), Medicare Part D plans will be required to notify your Medicare patients that you are not able to prescribe covered Part D drugs. Please note that if you opt out, you cannot receive reimbursement from traditional Medicare or a Medicare Advantage plan, either directly or indirectly (except for emergency and urgent care services).

If you need assistance with the process of enrolling in (or validly opting out of) Medicare, please contact the Medicare Administrative Contractor within your geographic area.


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