Your Responsibility: Medicare Part D Notification and Disclosure to CMS

General News
Published September 20, 2021

The Centers for Medicare & Medicaid Services (CMS) requires employers to notify their Medicare-eligible employees and dependents regarding whether their plan's prescription drug coverage pays, on average, as much as the standard Medicare prescription drug coverage.

Federal law also requires employer groups to notify CMS if their prescription drug coverage for Medicare beneficiaries is creditable. CMS requires employer groups to submit a Creditable Coverage Disclosure form each year or whenever any change is made that could affect whether the drug coverage offered is creditable.

Creditable coverage reports

The following creditable coverage status reports show 2021 health plans when compared to Medicare Part D 2022 threshold amounts. Creditable coverage status means that the health plan’s prescription drug coverage, on average, pays the same as standard Medicare prescription drug coverage.

• For businesses with 1–50 employees with a small group plan:
  2021-2022 Small Group Creditable Coverage Status Report
  
• For businesses with 51+ employees on a Preferred Choice plan:
  2021-2022 Preferred Choice Creditable Coverage Status Report

More information

For more information on Medicare Part D Notification and Disclosure to CMS requirements, visit cms.gov for:

• Creditable coverage
• Model notice letters
• Creditable disclosure and notification

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