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Disclosure to CMS Guidance and Instructions Creditable Coverage Disclosure to CMS

Guidance for entities that provide prescription drug coverage to Medicare Part D eligible individuals that they must disclose to CMS whether the coverage is "creditable prescription drug coverage" using the online Disclosure to CMS Form.

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: May 09, 2017

Creditable Coverage Disclosure to CMS

Entities that provide prescription drug coverage to Medicare Part D eligible individuals must disclose to CMS whether the coverage is "creditable prescription drug coverage".  This disclosure is required whether the entity's coverage is primary or secondary to Medicare.

Entities must disclose creditable coverage status to CMS using the online Disclosure to CMS Form which can be found on this page under "Related Links Inside CMS".  For guidance on Creditable Coverage Disclosure to CMS please refer to the guidance document found under "Downloads" below.


 

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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.