Code of Federal Regulations (Last Updated: July 5, 2024) |
Title 42 - Public Health |
Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
SubChapter B - Medicare Program |
Part 423 - Voluntary Medicare Prescription Drug Benefit |
Subpart J - Coordination of Part D Plans With Other Prescription Drug Coverage |
§ 423.462 - Medicare secondary payer procedures.
Latest version.
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§ 423.462 Medicare secondary payer procedures.
(a) General rule. The provisions of § 422.108 of this chapter regarding Medicare secondary payer procedures apply to Part D sponsors and Part D plans (with respect to the offering of qualified prescription drug coverage) in the same way as they apply to MA organizations and MA plans under Part C of title XVIII of the Act, except all references to MA organizations and MA plans are considered references to Part D sponsors and Part D plans.
(b) Reporting requirements. A Part D sponsor must report credible new or changed primary payer information to the CMS Coordination of Benefits Contractor in accordance with the processes and timeframes specified by CMS.
[70 FR 4525, Jan. 28, 2005, as amended at 75 FR 19819, Apr. 15, 2010]