Archives - Creditable Coverage Guidance and Notices
The documents on this page are for reference only. They have been superseded by other documents.
| Category | Document | Date |
|---|---|---|
| CC Model Notices for use after February 15, 2007 | Model Individual Non-CC Disclosure Notice - PDF format | 02/15/2007 |
| CC Guidance | Disclosure to CMS Guidance, Updated September 25, 2007 | 09/25/2007 |
| CC Model Notices for use after February 15, 2007 | Model Individual CC Disclosure Notice - Spanish - PDF format | 02/15/2007 |
| CC Model Notices for use after February 15, 2007 | Model Individual CC Disclosure Notice - PDF format | 02/15/2007 |
| CC Model Notices for use after February 15, 2007 | Model Individual Non-CC Disclosure Notice - Spanish - PDF format | 02/15/2007 |
| CC Model Notices for use after February 15, 2007 | Model Individual Non-CC Disclosure Notice - Zipped Word format | 02/15/2007 |
| CC Model Notices for use after February 15, 2007 | Model Personalized Individual Disclosure Notice - PDF format | 02/15/2007 |
| CC Model Notices for use after February 15, 2007 | Model Personalized Individual Disclosure Notice - Spanish - PDF format | 02/15/2007 |
| CC Model Notices for use after February 15, 2007 | Model Individual Non-CC Disclosure Notice - Spanish - Zipped Word format | 02/15/2007 |
| CC Medigap Notices for use prior to May 15, 2006 | Medigap Creditable Coverage Notice | 12/01/2005 |
| CC Guidance | Disclosure to CMS Guidance | 01/10/2006 |
| CC Model Notices for use after February 15, 2007 | Model Personalized Individual Disclosure Notice - Zipped Word format | 02/15/2007 |
| CC Model Notices for use after February 15, 2007 | Model Individual CC Disclosure Notice - Spanish - Zipped Word format | 02/15/2007 |
| CC Model Notices for use after February 15, 2007 | Model Individual CC Disclosure Notice - Zipped Word format | 02/15/2007 |
| CC Model Notices for use prior to May 15, 2006 | Model General Non-Creditable Coverage Notice - Spanish | 12/01/2005 |
| CC Guidance Documents for use prior to May 15, 2006 | General Creditable Coverage Guidance - Spanish | 01/04/2006 |
| CC Model Notices for use prior to May 15, 2006 | Model General Non-Creditable Coverage Notice | 12/01/2005 |
| CC Guidance and Model Disclosure Notices to be used after June 15, 2008 | Model Individual Non-Creditable Coverage Disclosure Notice - PDF format | 06/15/2008 |
| CC Guidance Documents for use after May 15, 2006 | Disclosure of Creditable Coverage to Medicare Part D Eligible Individuals Guidance | 04/12/2006 |
| CC Model Notices for use after May 15, 2006 | Model Beneficiary Creditable Coverage Disclosure Notice Language for use on or after May 15, 2006 | 04/21/2006 |
| CC Guidance | Disclosure to CMS Form - User Guide | 01/04/2006 |
| CC Model Notices for use prior to May 15, 2006 | Model General Creditable Coverage Notice | 12/01/2005 |
| CC Model Notices for use prior to May 15, 2006 | Model General Creditable Coverage Notice - Spanish | 12/01/2005 |
| CC Model Notices for use after May 15, 2006 | Model Beneficiary Personalized Disclosure Notice Language for use on or after May 15, 2006 | 04/21/2006 |
| CC Guidance and Model Disclosure Notices to be used after June 15, 2008 | Model Individual Creditable Coverage Disclosure Notice-Spanish - PDF format | 06/15/2008 |
| CC Guidance and Model Disclosure Notices to be used after June 15, 2008 | Model Personalized Individual Disclosure Notice-Spanish - PDF format | 06/15/2008 |
| CC Guidance and Model Disclosure Notices to be used after June 15, 2008 | Model Individual Creditable Coverage Disclosure Notice - Zipped Word format | 06/15/2008 |
| CC Guidance and Model Disclosure Notices to be used after June 15, 2008 | Model Individual Non-Creditable Coverage Disclosure Notice - Zipped Word format | 06/15/2008 |
| CC Guidance and Model Disclosure Notices to be used after June 15, 2008 | Guidance - Disclosure of CC to Medicare Part D Eligible Individuals Guidance - PDF format | 02/15/2007 |
| CC Guidance and Model Disclosure Notices to be used after June 15, 2008 | Model Individual Non-Creditable Coverage Disclosure Notice-Spanish - PDF format | 06/15/2008 |
| CC Guidance and Model Disclosure Notices to be used after June 15, 2008 | Model Individual Creditable Coverage Disclosure Notice-Spanish - Zipped Word format | 06/15/2008 |
| CC Helpful Hints | Disclosure to CMS Form Commonly Asked Questions and Helpful Hints | 01/04/2006 |
| CC Model Notices for use after May 15, 2006 | Model Beneficiary Non-Creditable Coverage Disclosure Notice Language for use on or after May 15 | 04/21/2006 |
| CC Guidance Documents for use prior to May 15, 2006 | Creditable Coverage Guidance | 01/04/2006 |
- Page last Modified: 02/29/2012 1:05 PM
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