CC Notice Crosswalk Document

CC Notice Crosswalk Document.DOC

Model Creditable Coverage Disclosure Notices

CC Notice Crosswalk Document

OMB: 0938-0990

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09/28/2007


Changes to 2009 Model Creditable Coverage Disclosure Notices



Change

Purpose of the Change



Additional

Burden?

Model Creditable Coverage Disclosure Notice




1. Inserted a box for entity to include personalized information in the notice to cover the situation when a beneficiary requests a personalized notice.

It was felt that it would simplify the Model Notices and ease the burden to the prescription drug plans and other reporting entities by eliminating the Model Personalized Notice and adding a section for personalized information in the Model Notices of Creditable Coverage and Non-Creditable Coverage.

No.


Model Non-Creditable Coverage Disclosure Notice




1. Inserted a box for entity to include personalized information in the notice to cover the situation when a beneficiary requests a personalized notice.

It was felt that it would simplify the Model Notices and ease the burden to the prescription drug plans and other reporting entities by eliminating the Model Personalized Notice and adding a section for personalized information in the Model Notices of Creditable Coverage and Non-Creditable Coverage.

No.


Model Personalized Creditable Coverage Notice




1. Eliminated.

It was felt that it would simplify the Model Notices and ease the burden to the prescription drug plans and other reporting entities by eliminating the Model Personalized Notice and adding a section for personalized information in the Model Notices of Creditable Coverage and Non-Creditable Coverage.

No.



Disclosure of Creditable Coverage to Medicare Part D Eligible Individuals Guidance




Updated to reflect changes in Model Notices outlined above and to reflect changes in dates.

To update document.

No.


1


File Typeapplication/msword
File TitleOMB Application Review Table
AuthorMarla Rothouse
Last Modified ByCMS
File Modified2008-07-17
File Created2008-07-15

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