Insight - Fall 2020

Fall 2020 | 27 CMS Notice To ensure we match the content and requirements per CMS, updated the CMS Notice of Appeals form that is provided to a patient when a claim is rejected for a Medicare plan. • The PRA Disclosure Statement now prints at the bottom of the form. • The following prints after the PRA Disclosure Statement: “CMS does not discriminate in its programs and activities: To request this form in an accessible format (e.g., Braille, Large Print, Audio CD) contact your Medicare Drug Plan. If you need assistance contacting your plan, call: 1-800 MEDICARE. • Form CMS-10147 prints in the lower left-hand corner. • OMB Approval No. 0938-09775 (Expires: XX/XX/XXXX) prints in the lower right-hand corner. Prescription Processing In some states (e.g., New York) pharmacies have 30 days from the date the prescription was issued to complete the first fill. • Added Rx Legal Requirements link to Store Options > Store Control > Store Level Options > Rx Filling . For each class type, information about Expiration Days, Refills, and Transfer Options can be entered. Information you previously entered on the Rx Filling screen migrates to the Rx Legal Requirements screen during the update. • Added Days to Complete Initial Fill editable text box. • Added Initial Fill Exp Date Based On dropdown. Options are:  Written Date  Effective Date − NRx = Effective Date