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  • Medicare Prescription Drug Appeals & Grievances
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  • Medicare Prescription Drug Appeals & Grievances

    • Grievances
    • Coverage Determinations and Exceptions
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    • Redetermination by the Part D Plan Sponsor
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Legal References

This section provides specific information of particular importance to plans, providers, and to beneficiaries receiving Part D drug benefits through a Part D plan.  Included below are links to the statute and regulations applicable to the Part D grievance, coverage determination and exceptions, and appeals processes.

Related Links

  • 42 CFR part 423, subpart M of the CFR
  • Medicare Modernization Act of 2003
  • 42 CFR part 405, subpart I of the CFR
  • 42 CFR part 423, subpart U of the CFR
  • Social Security Act, The Medicare Program
  • Sections 1860D-4(f), (g), and (h) of the Social Security Act
Page Last Modified:
12/01/2021 07:02 PM
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