Medicare Part D Disclosure to CMS Form
Entity Mandating Form: Centers for Medicare and Medicaid Services (CMS)
Applicability: Entities that provide prescription drug coverage to Medicare Part D-eligible individuals must disclose to CMS whether coverage is "creditable prescription drug coverage":
- Annually, within 60 days from the beginning of the plan year;
- Within 30 days after termination of the prescription drug plan; and
- Within 30 days after any change in the creditable coverage status of the prescription drug plan.
Obtaining This Form: An employer must file this form online on the CMS website.