ICD10monitor February 26, 2024
Timothy Powell, CPA, CHCP

The Centers for Medicare & Medicaid Services (CMS) is voluntarily soliciting comment on the second part of its recent draft guidance. Here is what the guidance requires:

Under the Medicare Act, specifically Section 1860D–2(b)(2)(E)(v)(III) (bb) and (cc), Part D sponsors are mandated to inform both prospective and current Part D enrollees about the Medicare Prescription Payment Plan. This is done through promotional and educational materials, emphasizing the importance of outreach and education to ensure that enrollees are well-informed about the program.

CMS requires that plans incorporate information about this program into the standard Part D materials (§ 423.2267(e)), which must also comply with the 42 CFR Part 423, subpart V regulations. These regulations outline the standards for required materials, content,...

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