New Medicare Part D prescriber prerequisite enrollment deadline extended

As an update to the new Centers for Medicare and Medicaid mandate, providers and other health care professionals who write prescriptions for Medicare Part D members must enroll in Medicare for an approved prescriber status or submit a valid opt-out affidavit before Jan. 1, 2016. Providers and other eligible health professionals need to enroll to ensure continued prescription coverage under Medicare Part D.

Those who’ve previously applied to meet this requirement and have received registration confirmation from CMS aren’t required to do anything else to fulfill this requirement.

CMS has also issued an interim final rule that excuses pharmacists from the enrollment requirement. However, other prescribers remain subject to this final rule and these new requirements will be enforced beginning June 1, 2016.

Providers should have their completed Medicare enrollment applications or opt-out affidavits submitted to their Medicare administrative contractors no later than Jan. 1, 2016, to prevent their patients’ prescription drug claims from being denied by their Part D plans, beginning June 1, 2016. For more information, click here.**

If you have any questions, contact your Medicare administrative contractor at their toll-free number, which can be found by accessing the Review Contractor Directory Interactive Map** on the CMS website.

Enrolling in Medicare Part D
You may submit your enrollment application electronically using the Internet-based Provider Enrollment, Chain, and Ownership System located at pecos.cms.hhs.gov/pecos/login.do** or by completing the paper CMS-855I or CMS-855O application, which is available at http://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/CMS-Forms-List.html.** Note that an application fee isn’t needed as part of your application submission.

**Blue Cross Blue Shield of Michigan does not own or control this website.