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Section 60 – Required Documents (Updated)Number Question19. If a plan decides to put a date, should weinclude the < mmddyyyy > on the materialwhen submitting to HPMS?2013 Medicare Marketing Guidelines (MMG)Questions & ResponsesNovember 2, 2012ResponseNo.ust 29, 201220. Where can the WEDI guide be found? The WEDI Health Identification CardImplementation Guide can be found at thefollowing link:http://wedi.org/snip/public/articles/details~74.shtml.21. Do combination medical and prescriptiondrug ID cards require the plan website to bedisplayed? Do they require the HPID numberthat CMS will provide?22. Is a new id card needed every year forcontinuing members?23. If plans keep the date in MMID, can it be onthe same line as the MMID?24. Section 60.1, Summary of Benefits, indicatesit is to be submitted via File & Use. Does thismean it is no longer subject to RO review?25. New - What is considered significantchange?26. New - One provider directory is used formultiple plans, 2 different disclaimers areneeded as one of the plans is a dual plan.Can both of the applicable statements beincluded in one directory? Or, is a separatedirectory required for the Dual plan with theapplicable contracting statement?27. New - Is written notice required for nonprimarycare physician changes, i.e.specialists terminating from the network?CMS will provide additional guidance onthe requirements for ID cards.Only if the card changes.Yes.Correct, the SB is no longer subject toprospective CMS review but may bereviewed on a retrospective basis.CMS does not define what is considered asignificant change for directories. The plansponsor must use their judgment indetermining what a significant change is.In the example presented, the plan mayplace both disclaimers in one directory andstill meet CMS requirements.Plan sponsors must make a good faitheffort to provide written notice oftermination of a contractedprovider/pharmacy at least thirty (30)calendar days before the terminationeffective date to all members who regularlyuse the provider/pharmacy‟s services. Thisis true whether the termination was for orwithout cause.The Final Contract Year 2013 Medicare Marketing Guidelines 28

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