Re-Determination of Part D Low-Income Subsidy Eligibility for 2020
Guidance for plan sponsors on the process used by the Centers for Medicare & Medicaid Services (CMS) and the Social Security Administration (SSA) to re-determine Medicare beneficiaries’ low-income subsidy (LIS) eligibility; an optional grace period for individuals who will no longer automatically qualify for the Part D LIS in 2020; a special enrollment period (SEP) for individuals who lose their LIS eligibility; CMS’ expectations regarding Part D sponsors’ responsibility for conducting outreach to members who no longer automatically qualify for LIS in 2020 and steps sponsors may take to ease their members’ transition; and two files from CMS to all Part D plan sponsors identifying individuals who CMS has notified about their loss of LIS in 2020.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: August 22, 2019
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