Information and Outreach Qualifications Sample Clauses

Information and Outreach Qualifications. Applicant provides information and conducts outreach to Medicare beneficiaries to include a detailed description of the following: • Applicant’s drug card that includes information on how to become enrolled in a program, how to qualify for the transitional assistance, and how transitional assistance works; • Negotiated prices offered for covered discount card drugs. • The permissible services Applicant provides for no additional fee, such as drug interaction counseling or allergy alerts; • The availability of a grievance process and how it works; • Toll-free numbers available to Applicant’s drug card enrollees; • A list of contracted pharmacies and prescription drugs offered for a negotiated price, and a guarantee that contracted pharmacies will provide the lower of the negotiated price or the “usual and customary” price. • Enrollment fees (if any); • A notice that drugs and prices may change or vary and a description of how the enrollee can obtain information regarding those changes and variations; • A clear description of the service area in which Applicant’s drug card is available; • Applicant’s procedures for managing transitional assistance against an enrollee’s cap or transitional assistance balance transfer to a newly elected approved program as well as any potential enrollee liabilities related to such procedures; and oA privacy notice for protected health information. • Applicant provides beneficiaries with information and outreach materials that comply with CMS information and outreach guidelines. Such guidelines will be posted on the CMS web site at xxx.xxx.xxx.xxx as a separate document from this solicitation. Applicant provides the materials to beneficiaries in customer-appropriate printed material prior to and after enrollment. • Applicant provides all information and outreach materials to CMS for review prior to conducting outreach to Medicare beneficiaries. When acting in the capacity of a Medicare managed care plan and co-mingling plan materials with card sponsor information and outreach materials, Medicare managed care organizations are required to obtain approval from CMS. These materials require approval from the appropriate CMS Regional Office and the contractor that will review drug card program information and outreach materials.