Part D Change Effective March 13, 2009
Part D Appeals rules simplified: Effective March 13, 2009, after notifying the patient, a physician may ask a Part D drug plan for reconsideration of a drug coverage denial without a completed “appointment of representative” (AOR) form from the patient prior to contacting the plan. Previously, physicians could request initial determinations and expedited appeals from plans, but could not proceed further in the appeals process. The new rule from CMS is expected to expedite the appeals process.
CMS suspends enrollment and marketing for WellPoint Prescription Drug Plan and MedicareAdvantage contracts Effective January 12, 20
The Centers for Medicare & Medicaid Services (CMS) suspended marketing and enrollment for WellPoint Medicare Advantage and Prescription Drug Plan contracts, effective January 12, 2009. With these imposed sanctions, WellPoint will not be able to market several of its Medicare Advantage and Prescription Drug Plans and will not be able to enroll new beneficiaries.
Source: Mental Health Part D (http://www.mentalhealthpartd.org/01_Home.php)