The VDSA Implementation Questionnaire. The VDSA Implementation Questionnaire is not a file layout like those above. Instead, the Implementation Questionnaire is a document to be filled out by the VDSA partner that provides information to be used to assure both the VDSA partner and CMS that agreement on essential operational questions has been reached. VDSA partners must complete and return a copy of this document to CMS with their signed VDSA. The Employer and Insurer versions of the Questionnaire are available on the VDSA Web sites, xxx.xxx.xxx.xxx/XxxxxxxxXxxxxxxx and xxx.xxx.xxx.xxx/XxxxxxxXxxxxxxx . SECTION C: WORKING WITH THE DATA I. The Distinction Between Part D Eligibility and Part D Enrollment In your response files you will get information about beneficiary Part D eligibility and Part D enrollment. We know that the distinction between an individual’s benefit eligibility and benefit enrollment can be confusing. While it sometimes appears that the two terms are used interchangeably, for CMS they have very different and distinct meanings. Once an individual is a Medicare beneficiary, he or she is then eligible to participate in Medicare’s benefit programs, including Part D. Usually, the Medicare beneficiary can choose to participate, and if he or she does, the first day the beneficiary’s participation is effective is the date of enrollment in the benefit program. For example, individuals who have aged into Medicare Part A are then eligible to enroll in Medicare Parts B and D, if they so choose. Once an application for enrollment is accepted, the beneficiary’s effective date of enrollment is determined. In summary, an eligible Medicare beneficiary may participate in Medicare program benefits beginning on his or her date of enrollment in the benefit program. For beneficiaries who choose to participate in the Part D program, the date of enrollment is, usually, the first day of the following month. In the VDSA Response Files there are five related fields that can have information about current Medicare Part D eligibility and enrollment. Part D Eligibility Start Date. This will be the first date a Medicare beneficiary has the right to enroll in Part D. It is almost always the effective date of coverage for the beneficiary’s Part A or Part B participation. Information in this data field does not show that a beneficiary has enrolled in Part D. It simply gives the date the beneficiary became eligible to enroll. It is Field 60 in the MSP Response File; Field 35 in the Non-MSP Response File. Part ...
The VDSA Implementation Questionnaire. The VDSA Implementation Questionnaire is not a file layout like those above. Instead, the Implementation Questionnaire is a document to be filled out by the VDSA partner that provides information to be used to assure both the VDSA partner and CMS that agreement on essential operational questions has been reached. VDSA partners must complete and return a copy of this document to CMS with their signed VDSA. The VDSA Implementation Questionnaire is available from CMS.
