Card Program Administration and Customer Service. 3.5.1 Beneficiary Eligibility/Enrollment/Enrollment Fee NOTE: Applicants should refer to Attachment 2 for an illustration of the Drug Card Enrollment Process Qualifications: • Applicant limits enrollment in its drug card to current or new members of the Medicare managed care plans offering such exclusive card program who do not receive drug coverage through a Medicaid plan, including Medicaid demonstration programs under 1115 waivers (including Pharmacy Plus waivers). • Applicant limits enrollment in its drug card to those Medicare managed care plan members who reside within the Applicant’s service area. • Applicant charges each enrollee (or State) an annual enrollment fee of no more than $30 for 2004 and 2005. Applicant must charge a uniform enrollment fee within each Medicare managed care plan that offers the discount card. The enrollment fee may neither change nor be pro-rated during the year. No enrollment fee may be charged in 2006. Applicant may subsidize the enrollment fee (or offer the drug card for no fee) for drug card eligible Medicare managed care plan members and, if it chooses to do so, must include the drug card program as an additional benefit under its Adjusted Community Rate (ACR) filing. Should the Applicant charge a fee for its exclusive card program, the benefit would be considered an optional supplemental benefit. • Applicant accepts for enrollment all eligible Medicare managed care plan members who apply. • Applicant accepts payment of enrollment fees from States that offer such payments on behalf of Medicare beneficiaries who are not determined eligible for transitional assistance. • Applicant accepts enrollments in the following manner: • For individuals applying for the drug card and transitional assistance, Applicant collects an enrollment form. This form may be made available on-line as a printable or downloadable form, but it must be signed and dated and returned to the Applicant via mail or facsimile • For individuals applying only for the drug card, Applicant accepts an enrollment form via mail or facsimile, but may, and is encouraged to, accept drug discount card enrollment requests via telephone and Internet. • Medicare managed care organizations may use abbreviated enrollment forms where applicable, especially where the Medicare managed care organization already has some of the required information about the beneficiary. CMS will provide model standard enrollment forms, as well as model abbreviated enrollment forms. Applic...
