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Part D Auto-Enrollment May 22, 2007

Part D Auto-Enrollment May 22, 2007. Sharon Donovan Medicare Enrollment and Appeals Group Center for Beneficiary Choices, CMS. The Auto-Enrollment Process. Identify people who need to be enrolled Assign to appropriate plan Set effective date Notify beneficiary Notify assigned plan

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Part D Auto-Enrollment May 22, 2007

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  1. Part D Auto-Enrollment May 22, 2007 Sharon Donovan Medicare Enrollment and Appeals Group Center for Beneficiary Choices, CMS

  2. The Auto-Enrollment Process • Identify people who need to be enrolled • Assign to appropriate plan • Set effective date • Notify beneficiary • Notify assigned plan • Make assignment available to stakeholders • Have contingency plan for those missed

  3. Data Flow in Medicare Part D • States • SSA • CMS • Part D plans • Pharmacists

  4. Example - Auto & Facilitated Process June 15th – 30th: State files come in identify full & partial duals July 12th: Pharmacist can see 4Rx billing data on E1 query July 18th: Plan sends confirmation notice to beneficiary June 19th: SSA sends SSI-only beneficiaries July 11th: CMS beneficiary notice put in mail; plan submits 4Rx data to CMS Sept 1st -- Effective date of July facilitated (FE) July 8th: TRR to Plans July 2nd -- MBD system deems for LIS July 5th: Preliminary file sent to plans, pharmacist can see plan assignment on E1 query NOTE: Auto-enrollment effective will vary July 3rd: MBD auto-assigns & facilitates assignments July 4th: MBD submits transactions to MARx system

  5. Questions…? Sharon Donovan Sharon.Donovan@cms.hhs.gov (410) 786-2561

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