CMS UPDATE: MEDICARE OPT IN/OPT OUT REGULATIONS FOR MEDICARE PARTS C AND D
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On April 16, 2018 the Centers for Medicare and Medicaid Services (CMS) announced a final rule revising Medicare Advantage program (Part C) regulations and Prescription Drug Benefit program (Part D) regulations.
The ruling rescinds the previously announced rule that would have required dentists who provide dental care and prescriptions for Medicare Advantage patients and Part D beneficiaries to be enrolled in Medicare or to have opted out in order for their services and prescriptions to be covered. As a substitute for the enrollment/opt-out requirement, CMS will utilize a preclusion list.
This revised rule takes effect on June 15, 2018, and CMS will begin utilizing the preclusion list at the beginning of 2019.
For additional, detailed information, please review the
ADA News article on the ruling, or go to
cms.gov.