LIS Revisited
Medicare Conference Call
Wednesday, August 16, 2006
3:00 PM ET

 The Social Security Administration (SSA) is starting its redetermination process for the approximately two million Medicare beneficiaries it has determined to be eligible for the Part D Low Income Subsidies (LIS), or “Extra Help,” since July 2005.  The Centers for Medicare & Medicaid Services (CMS) and the state Medicaid agencies are also at work on a re-deeming process for people with Medicare and Medicaid (the dually eligible), including Medicare Savings Program recipients.  During the call, we will carefully review the processes, notices and forms that LIS beneficiaries will soon receive.  We will leave lots of time to discuss how these processes will affect your SHIP work.  We are honored that Bea Disman, Chair of Social Security Administration’s Medicare Task Force and SSA Regional Commissioner for Region II in New York, and Cheri Arnott, Social Security Administration Associate Commissioner for External Affairs, will join us for the call. We will also welcome Susie Butler, CMS Division of Partnership Development, and a number of high-level CMS subject matter experts to our call. At the same time, there are still 3-5 million low income Medicare beneficiaries who have not yet applied for LIS. Please plan to share your ideas for reaching the “missing LIS millions” with Bea and Cheri, who are eager to hear from you.  

 

I. General Overview

ABC Rx Coalition PowerPoint
LIS Redeterminations and Re-deeming (August 2006)

II. Social Security Administration LIS Redeterminations Program Operations Manual System

Redeterminations

Processing Reports of Change and Subsidy Changing Events (SCEs)

Redeterminations of Eligibilty

Redeterminations of Eligibility (Effective August 2006)

Adjustments and Terminations

Sample Redetermination Letter and Application

Passive Redetermination Sample

III. CMS Re-deeming Process

State Medicaid Director Letter (July 6, 2006)
This State Medicaid Director letter describes the CMS re-deeming process for those who were deemed eligible for LIS

IV. CMS Notices

CMS draft re-assignment notices
Final versions of these notices will be sent to LIS beneficiaries who must move to another Part D plan.

CMS draft re-deeming notice

Medicare Prescription Drug Assistance Notice of Review

2007 Annual Notice of Change (ANOC) Model Letter

2007 Model Annual Notice of Change (ANOC) Cost Plan

2007 Model Annual Notice of Change (ANOC) MA-only

2007 Model Annual Notice of Change (ANOC) MA-PD

Model Annual Notice of Change (ANOC) Renewing Plan PDP only

Model Annual Notice of Change (ANOC) PDP only

 

 

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