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Model Redetermination Notice of
Denial of Medicare Prescription Drug Coverage

Model notice for Medicare Prescription Drug plans to follow to provide to enrollee reason why the plan is denying their appeal and how to proceed with additional actions

Download the Guidance Document

Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.

Model Redetermination Notice of Denial of Medicare Prescription Drug Coverage

Model Redetermination Notice of
Denial of Medicare Prescription Drug Coverage