Medicare Part D
As of December 15, 2005, TACHC has negotiated a contract
with MemberHealth for the Medicare Part D Community Care Rx
(CCRx) program for 340Better health centers. MemberHealth
is a CMS nationally awarded PDP for Part D. The contract will
need to be signed by a health center representative and returned
directly to MemberHealth. For a copy of the MemberHealth contract,
contact Lynn Ford and she can forward the contract to your
attention. Once the contract is signed by the health center
and returned to MemberHealth, MemberHealth will forward Part
D patient enrollment materials to the health center for the
health center patients to complete to enroll in the CCRx program.
This agreement allows for the continued use of 340B pricing
at the health center and also being able to utilize the CMS
Part D program.
As of September 16, 2005, TACHC has negotiated a contract
with a consultant to assist TACHC in negotiating contracts
with the Medicare Part D PDPs. CMS has not yet awarded/determined
who the PDPs will be, it will hopefully happen shortly. Once
the PDPs are determined by CMS, then TACHC can negotiate with
the PDPs for contracts for the TACHC 340Better health centers.
If any of you have received contracts already from PDPs for
Part D participation, please contact Lynn
Ford at the TACHC office at (512) 329-5959 and forward
the proposed contract. This will greatly help TACHC when the
PDPs are finally awarded to know who to start to contact for
contracts.
As you are aware on December 8, 2003, President Bush signed
the Medicare Prescription Drug, Improvement and Modernization
Act (MMA) into law. The MMA establishes is an outpatient prescription
drug benefit for Medicare beneficiaries effective January
1, 2006 (Part D).
REMEMBER, all 340Better health centers are able
to take advantage of this Medicare Part D. Only a NCPDP number
is needed to submit/adjudicate claims with MemberHealth. If
your health center does not already have a NCPDP number, please
contact NCPDP directly for the applicable enrollment forms.
A DEA license attached to the pharmacy/health center is NOT
required to acquire a NCPDP number.
National Council for Prescription Drug Programs (NCPDP)
9240 East Raintree Drive
Scottsdale, AZ 85260
(480) 477-1000: phone
www.ncpdp.org
If you have any questions, please contact Lynn Ford at (512)
329-5959 or via email Lynn
Ford.
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