United Benefit Advisors Insight and Analysis Blog

CMS Requires Prescription Drug Coverage Reporting under Section 111 MSP Reporting

Posted by: Karen Hsu    Oct 3, 2019 9:18:00 AM

The Centers for Medicare and Medicaid Services (CMS) revised its Section 111 Medicare Secondary Payer (MSP) User Guide and issued FAQs that require responsible reporting entities (RREs) to submit primary prescription drug coverage information as part of their Section 111 MSP Mandatory reporting requirements effective January 1, 2020.

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Topics: prescription drug coverage, compliance recap

Medicare Part D: Creditable Coverage Disclosures

Posted by: Danielle Capilla    Mar 7, 2017 9:30:00 AM

Entities such as employers with group health plans that provide prescription drug coverage to individuals that are eligible for Medicare Part D have two major disclosure requirements that they must meet at least annually:

  • Provide annual written notice to all Medicare eligible individuals (employees, spouses, dependents, retirees, COBRA participants, etc.) who are covered under the prescription drug plan.
  • Disclose to the Centers for Medicare and Medicaid Services (CMS) whether the coverage is "creditable prescription drug coverage."
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Topics: Medicare Part D, Danielle Capilla, health care cost, annual disclosures, prescription drug coverage, creditable coverage notice