Medicare Part D prescriber enrollment enforcement delayed

The Centers for Medicare and Medicaid Services (CMS) is delaying enforcement of the Part D Prescriber Enrollment Requirements until Feb. 1, 2017, in an effort to minimize the potential for disrupting beneficiaries’ access to needed Part D medications. The revised date gives prescribers additional time to complete their enrollment activities.

Despite the delay, physicians who want to prescribe medications covered under Medicare Part D are required to be enrolled in Medicare.

CMS encourages prescribers of Part D drugs (except those who meet the definition of “other authorized prescribers”) to submit their Medicare enrollment applications or opt-out affidavits to their Medicare administrative contractors before Aug. 1, 2016. This should allow sufficient time to process the prescribers’ applications or opt-out affidavits and prevent prescription drug claims from being rejected by Part D plans beginning Feb. 1, 2017.

Learn more about Part D prescriber enrollment.