Crosswalk: Alternate Second Notice

Part D Drug Management Program Crosswalk-Nonsubstantive Change 08.06.25.pdf

Part D Drug Management Program (CMS-10874)

Crosswalk: Alternate Second Notice

OMB: 0938-1465

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Part D Drug Management Program Crosswalk of Changes
Nonsubstantive Change
2024 Alternate Second Notice
“As of the date of this notice,
you’re eligible to use the quarterly
Medicare Special Enrollment
period because you receive Extra
Help with your prescription drug
costs.”

Alternate Second Notice (new
version)
“As of the date of this notice,
you’re eligible to use the monthly
Medicare Special Enrollment
period to enroll in a standalone Part
D plan because you receive Extra
Help with your prescription drug
costs.”

Type of
Change
Revision

Reason for
Change
Accuracy

Burden
Change
No


File Typeapplication/pdf
File TitlePart D Drug Management Program Crosswalk of Changes
AuthorMDBG-DPDP-VY
File Modified2025-08-06
File Created2025-08-06

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