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Medicare Creditable Coverage Disclosure to CMS Required Soon for Calendar Year Plans

February 8, 2022

Entities that provide prescription drug coverage to Medicare Part D eligible individuals must disclose to Center for Medicare and Medicaid Services (CMS) whether the coverage is "creditable prescription drug coverage". This disclosure is required whether the entity's coverage is primary or secondary to Medicare. More information is available on the CMS website.


The disclosure should be completed annually no later than 60 days after the beginning date of a plan year for which the disclosure is being reported (contract year, renewal year), within 30 days after termination of a prescription drug plan, or within 30 days after any change in creditable coverage status.


Entities must disclose creditable coverage status to CMS using the online Disclosure to CMS Form which is also on the site above and can be found here. For instructions and guidance on Creditable Coverage Disclosure to CMS, please refer to the documents found under "Downloads" on the CMS website link.


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