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Stephanie Pellitt

Policy and Advocacy Associate

Medicare Part D Prescriber Enrollment Requirement Delayed

November 3, 2016 | Medicare | Comments
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The Centers for Medicare and Medicaid Services (CMS) announced this week that it is delaying the February 1, 2017 deadline for Medicare Part D prescribers to enroll in the Medicare program. CMS now expects full enforcement of enrollment to take effect on January 1, 2019. CMS aims to begin targeted enrollment of prescribers in the spring of 2017.

This Medicare Part D regulation requires prescribers to be enrolled in the Medicare program or have a valid opt-out record for their prescriptions to be covered by Medicare Part D. In its release, CMS says it recognizes “the need to minimize the impact on the beneficiary population and ensure beneficiaries have access to the care they need.” Specifically, CMS says that leading up to 2019, it will ramp up strategic enrollment activities, including:

  • Easy Enroll Application Process – CMS’s easy enroll process will allow prescribers to review, update, electronically sign and submit a pre-populated enrollment application online. (Implementation: Q2 2017)
  • Targeted Risk-Based Prescriber Outreach – Prioritized outreach and education will include direct mailings and coordination with the Part D plans to enroll prescribers of Schedule II drugs or a high volume of Part D drugs. (Implementation: Q2 2017)
  • Direct Mailing to all Non-Enrolled Prescribers – CMS will send direct mailings via email and/or paper to all prescribers that are not enrolled in the program, including direct mailing notifications will be triggered for unenrolled prescribers based on Prescription Drug Events. (Implementation: Q3 2017)
  • Current Education and Outreach – CMS will continue with the current education and outreach efforts including such activities as stakeholder meetings and conferences, assembly meetings, and presentations. (Continuously on-going)

More information on enrollment in Medicare Part D can be found here.