tci Medicare Compliance & Reimbursement - 2006 Issue 3

COVERAGE: Part D Contingency Plans For Dual Eligibles Still Riddled With Pitfalls

GAO report questions protections for benes--much to CMS' displeasure.A safety net is in place to ensure comprehensive, uninterrupted drug coverage for dual eligibles during their transition to Medicare Part D--but it contains some significant holes, a new report charges.The contingency plans that are in place to protect full-benefit dual eligibles from losing Medicaid coverage when they transfer to Medicare Part D may not be enough to guarantee that all enrollees will be able to obtain the drugs they need starting Jan. 1, 2006, the Government Accountability Office cautions in a recent report. Three main problem areas, plus...

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