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.

Risk Management services are provided by Dentist’s Advantage and the NSDP to assist the insured in fulfilling his or her responsibilities for the control of potential loss-producing situations involving their dental operations. The information contained in this document is not intended as legal advice. Laws are under constant review by courts and the states and are different in each jurisdiction. For legal advice relating to any subject addressed in this document, dentists are advised to seek the services of a local personal attorney. The information is provided "AS IS" without warranty of any kind and Dentist’s Advantage and NSDP expressly disclaims all warranties and conditions with regard to any information contained, including all implied warranties of merchantability and fitness for a particular purpose. Dentist’s Advantage and NSDP assume no liability of any kind for information and data contained or for any legal course of action you may take or diagnosis or treatment made in reliance thereon.