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CMS Delays Requirement That Part D Prescribers Be Enrolled In Medicare Or In Valid Opt-Out Status

Posted on Wednesday, May 6, 2015 2:59 PM

CMS has released an interim final rule delaying a regulatory requirement that prescribers of Part D medications that are eligible to enroll in Medicare either be enrolled in Medicare approved status or in a valid opt-out status. The enrollment requirement was scheduled to go into effect on December 1, 2015 but now will go into effect on January 1, 2016. Furthermore, “in cases where Part D enrollees submit prescriptions for processing through Part D that are not prescribed by an eligible professional that is either enrolled in Medicare in an approved status or is in a valid opt-out status, the Part D plan must provide a provisional prescription (3 month supply) for the Part D enrollee to allow the prescriber time to either enroll in Medicare or to allow the patient time to secure a prescription from another professional.” Click here to see the regulation. Click here to read more.

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