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Category |
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Medicare Modernization Act
$600 Credit
Enrollment
State Pharmacy Assistance Program (SPAP)
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Date Created |
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| 07/08/2004 11:38 AM |
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Date Updated |
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| 07/09/2004 12:44 PM |
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What if an State Pharmacy Assistance Program (SPAP) wants to auto-enroll its members in the drug card and to obtain the additional $600 for them, but does not have all of the necessary information about its members? |
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Question |
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What if an State Pharmacy Assistance Program (SPAP) wants to auto-enroll its members in the drug card and to obtain the additional $600 for them, but does not have all of the necessary information about its members? (For example, what if the SPAP does not know if its members have other coverage for outpatient prescription drugs?) |
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Answer |
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In order to auto-enroll its members, the SPAP must be able to provide all of the necessary information including, for example, whether the member has other coverage for outpatient prescription drugs and attest to the drug card sponsor that the information provided about its members is correct and complete to the best of the SPAP's knowledge. If the SPAP cannot provide this information, or the attestation, the SPAP cannot auto-enroll the member(s). [Note: The only exception to this requirement is that, if the SPAP does not have the Medicare ID number, or HICN, for the enrollee, but does have the individual's social security number, the SPAP may still auto-enroll this individual.
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