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Information
will be regularly added to this website. Plan to check
it faithfully!
PPA has been emailing and faxing our members regular Part D updates
since spring of 2005 and continues to do so. Over the
course of a year plus, we have sent nearly 100 of these
important updates.
Have your missed any of our frequent email/fax bulletins? -
review
recent back copies here!
 The
following items represent various sources of information of
recent interest related to Part D.
Prior
Authorization Requirements from CMS
AMP Tentative
Timeline
Transition Guidance 2007
Memo to Plans on Readiness
Preparing for 2007
Final Unredeemed Letter
Consumer Alert - Scams
Additional Guidance LTC Contracting
Memo - Vaccine
Access
Payment Options
Memo -
Incorrect Copays for Duals
180 Day
Q&A Institutionized Status
McClellan Remarks
Standardized Additional Messages
Press
Release on Messaging
Formulary Guidance
Roadmap
Transition
Appeals
Prescription Niacin
CMS Expectations
Final
CY 2007 Formulary
Formulary Guidance 2007
Enrollment Reconciliation Process
Important CMS Links and
Resources
:: Go to CMS
website with
Information for Providers. read the articles
in the Drug
Coverage Series. They are relatively short - 2 to 3
pages.
:: Visit the CMS
specific section for
Pharmacists
Know
Your Acronyms and Definitions!
A nice review of Part D's "Alphabet soup"
::
PPA has
developed a list of
key terminology related to the benefit. We also
have a
separate definition list
from Dr, Stefanacci, from USP.
:: PPA has added an
additional list of more key definitions and CMS has a
list of
preferred terminology to use in talking with potential
beneficiaries.
Access
Medicare Part D website resources By book
marking these
key websites.
So you can check for additional information frequently.
Medication Therapy Management Services (MTMS)
::
APhA and NACDS
Core Elements of MTMS Document
:: Information on CMTM - MTMS available through
the CCRx plan
-
Find out what patients you might have
just waiting for this!
Remember enrolling patients in Part D
plans is an ongoing process. There will
always be someone just becoming eligible. Use
these tools to help you - help them!
::
Plan Finder Tool - help beneficiaries list their drugs
and search for
appropriate plans.
::
Medicare and You 2006 - An online version of the
handbook mailed all beneficiaries.
:: Overall
Fact Sheet for Beneficiaries
::
Low Income Application
(to qualify for extra help!)
Get your NPI as an individual
pharmacist. This is in addition to the NPI for your
pharmacy.
CMS is pleased to announce the availability
of a new identifier for use in the standard
electronic health care transactions. The National Provider
Identifier (NPI) will be the single
provider identifier, replacing the different provider
identifiers currently in use for each
health plan with which they do business. Obtaining the NPI
is
required in the
Health
Insurance Portability and Accountability Act of 1996 (HIPAA)
and will be the single national
provider identifier for pharmacists, pharmacies, and
prescribers no later than May 23,
2007.
National standards for electronic health care transactions
encourage electronic
commerce in the health care industry and simplify the
processes involved to reduce the
administrative burdens on health care providers. A May 6th
letter (linked below) was
distributed to aid in understanding the background of this
requirement & what steps are
necessary to apply for and receive your NPI.
http://www.cms.hhs.gov/hipaa/hipaa2/npi_provider.asp
For more Information on
the NPI,
click here.
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