On March 1, 2016, the Centers for Medicare and Medicaid Services (CMS) issued a memo outlining another delay in the enforcement of the requirement for providers of Medicare Part D drugs to enroll in the Medicare program or opt out. The new enforcement date is February 1, 2017.
In order to ensure sufficient time to process prescribers’ applications or opt out affidavits, CMS is urging prescribers of Part D drugs to submit their Medicare enrollment applications or opt-out affidavits to their Medicare Administrative Contractors (MACs) before August 1, 2016.
In order for Medicare to pay for prescriptions under Medicare Part D after February 1, 2017, a dentist must do one of the following:
• Enroll as a Medicare provider;
• Enroll as an ordering/referring provider; or
• Opt out of the Medicare program.
To help you comply with the requirement, visit the AGD’s Medicare Enrollment FAQ document at the Resources page. For more information on CMS’s change to the enforcement date, visit CMS’ website dedicated to Part D prescriber enrollment. To enroll online, or to access paper application forms, visit CMS’ Provider Enrollment, Chain and Ownership System (PECOS) website.
Questions concerning the Part D enrollment/opt out requirement can be sent to firstname.lastname@example.org. Additionally, CMS has provided for the following address for questions regarding Part D: PartDPolicy@cms.hhs.gov.