Medicare Part B Drug Competitive Acquisition Program (CAP) Postponed for 2009
The contract with the current Approved CAP Vendor, BioScrip Inc., expired December 31, 2008. Physicians who participated in the CAP must transition back into the Average Sales Price (ASP) method of acquiring part B drugs for services provided on or after January 1, 2009. Emergency restocking requests for drugs used from office stock must be submitted to the Approved CAP Vendor by January 30, 2009. Claims processing for the CAP will continue past January 1, 2009 for claims with dates of service through December 31, 2008, and participating CAP physicians must submit their drug administration claims by January 30, 2009. The physician election period for 2009 that was scheduled for October 1 to November 15, 2008 will not be held. In 2009, beneficiaries whose physicians participated in the CAP will only receive a Medicare Summary Notice (MSN) from the CAP designated carrier if the corresponding claims for their Medicare drugs were from dates of service on or before December 31, 2008.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: September 18, 2008
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