Archives - Creditable Coverage Guidance and Notices

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 They have been superseded by other documents.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 Guidance
Disclosure to CMS Form - User Guide
2006-01-04
CC Guidance
Disclosure to CMS Guidance
2006-01-10
CC Guidance
Disclosure to CMS Guidance, Updated September 25, 2007
2007-09-25
Model Individual Creditable Coverage Disclosure Notice - Zipped Word format
2008-06-15
Model Individual Non-Creditable Coverage Disclosure Notice - Zipped Word format
2008-06-15
Guidance - Disclosure of CC to Medicare Part D Eligible Individuals Guidance - PDF format
2007-02-15
Model Individual Non-Creditable Coverage Disclosure Notice-Spanish - PDF format
2008-06-15
Model Individual Non-Creditable Coverage Disclosure Notice - PDF format
2008-06-15
Model Individual Creditable Coverage Disclosure Notice-Spanish - PDF format
2008-06-15
Model Individual Creditable Coverage Disclosure Notice-Spanish - Zipped Word format
2008-06-15
Model Personalized Individual Disclosure Notice-Spanish - PDF format
2008-06-15
Disclosure of Creditable Coverage to Medicare Part D Eligible Individuals Guidance
2006-04-12
Creditable Coverage Guidance
2006-01-04
General Creditable Coverage Guidance - Spanish
2006-01-04
CC Helpful Hints
Disclosure to CMS Form Commonly Asked Questions and Helpful Hints
2006-01-04
Medigap Creditable Coverage Notice
2005-12-01
Model Individual Non-CC Disclosure Notice - Spanish - PDF format
2007-02-15
Model Personalized Individual Disclosure Notice - Zipped Word format
2007-02-15
Model Individual CC Disclosure Notice - Spanish - PDF format
2007-02-15
Model Individual CC Disclosure Notice - PDF format
2007-02-15
Model Individual Non-CC Disclosure Notice - PDF format
2007-02-15
Model Individual CC Disclosure Notice - Spanish - Zipped Word format
2007-02-15
Model Individual CC Disclosure Notice - Zipped Word format
2007-02-15
Model Individual Non-CC Disclosure Notice - Zipped Word format
2007-02-15
Model Individual Non-CC Disclosure Notice - Spanish - Zipped Word format
2007-02-15
Model Personalized Individual Disclosure Notice - Spanish - PDF format
2007-02-15
Model Personalized Individual Disclosure Notice - PDF format
2007-02-15
Model Beneficiary Creditable Coverage Disclosure Notice Language for use on or after May 15, 2006
2006-04-21
Model Beneficiary Non-Creditable Coverage Disclosure Notice Language for use on or after May 15
2006-04-21
Model Beneficiary Personalized Disclosure Notice Language for use on or after May 15, 2006
2006-04-21
Model General Non-Creditable Coverage Notice - Spanish
2005-12-01
Model General Creditable Coverage Notice - Spanish
2005-12-01
Model General Non-Creditable Coverage Notice
2005-12-01
Model General Creditable Coverage Notice
2005-12-01
Page Last Modified:
09/06/2023 04:57 PM