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Advocacy News

CMS Postpones Part D Enrollment Enforcement to January 2019

November 02, 2016 The Centers for Medicare & Medicaid Services announced this week that it would again delay the enforcement of the Medicare Part D prescriber enrollment requirement. The new deadline for providers to enroll is Jan. 1, 2019.

CMS published a final rule in May 2014 and an interim final rule in May 2015 stating that prescribers must be enrolled or validly opted out in order for their written prescriptions to be covered under Part D.

Responding to concerns from the ADA and other organizations, the agency said Oct. 31 that, in postponing enforcement of the rule, it "recognizes the need to minimize the impact on the beneficiary population and ensure beneficiaries have access to the care they need."

The Association continues to seek a legislative repeal of the requirement and continues to support H.R. 4062, bipartisan legislation introduced in 2015 that calls for removing the mandate that certain providers, including dentists, be enrolled in Medicare in order for pharmacists to be reimbursed.