Long-Term Care

New federal rule affects Part D prescribers

MDS 3.0 Insider, May 8, 2015

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On May 23, 2014, there was a new federal rule issued that requires physicians, including psychiatrists and other prescribers of Part D drugs, to be enrolled in Medicare in an approved status or to formally opt out of Medicare to prescribe medications for their Part D patients. However, CMS had to revisit the final rule as a result from learning that certain pharmacists did not meet the definition of ““physician” or “eligible professional” to enroll in Medicare and permitted to prescribe under state laws. These providers would be denied as writing valid prescriptions because the prescriber is neither enrolled in nor opted-out of Medicare.
CMS issued an Interim Final Rule on May 1, 2015.

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