Medical Staff

SNFs face Part D obstacles

Executive Briefings Digest, January 31, 2006

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Skilled nursing facilities (SNFs) are now scrambling to find out to which Medicare Part D prescription drug plans the Centers for Medicare & Medicaid Services (CMS) automatically assigned their dually eligible residents.

CMS placed residents eligible for both Medicare and Medicaid into random drug plans to lessen the chance of residents having no drug coverage at all-but the process leaves the detective work to facilities to uncover the actual plan.

The government may take up to 10 days to answer requests from SNFs to verify a resident's prescription drug plan, according to a recent Agency for Health Care Administration press release. Facilities that need information on prescription drug plans for more than 100 residents must mail, rather than fax, their requests to the agency.

Source: Billing Alert for Long-Term Care



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