CMS Reporting 2017-07-19T23:42:27+00:00

CMS Reporting

The Centers for Medicare & Medicaid Services (CMS) require most Plans to perform the following functions annually. We are providing this information as a reminder.

Annual Disclosure to Medicare Eligible Participants

You must disclose to all Medicare eligible participants and their dependents who are covered under your Group Health Plan whether the prescription drug coverage provided by the Plan is Creditable or Non Creditable.

This disclosure must be made by the middle of October, so that those participants can make an election to enroll or not enroll in a Medicare Part D Prescription Drug Program during Medicare’s annual enrollment period, generally from October 15 to December 7.

You may download the Model notice recommended by Medicare.

You may also download an overview of the updated Guidance information.

Disclosure to Medicare

You must disclose to Medicare annually, via the CMS web site, whether the prescription drug coverage provided by the Plan is Creditable or Non Creditable.

Click here to access the CMS Web form.

Click here for instructions 

You may also read more information regarding the determination of creditable coverage.

Creditable Coverage Notification Required Annually to Plan Participants

The Medicare Modernization Act (MMA) requires entities (whose policies include prescription drug coverage) to notify Medicare eligible policyholders whether their prescription drug coverage is creditable coverage, which means that the coverage is expected to pay on average as much as the standard Medicare prescription drug coverage. This annual requirement is due to participants 

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Model Notice Letters to download and distribute>