TN 31 (06-04)

HI 00801.143 Evidence of Enrollment in A Medicare Managed Care Plan

A. Policy

In all cases of enrollment or premium surcharge relief under the transfer enrollment period provisions, it is necessary to verify that the individual is or was enrolled in an MMCP that meets the requirements in HI 00208.066C.2. and HI 00208.066.D.

B. Procedure

Enrollment in an MMCP can be verified by checking the Medicare Enrollment Query (MEQY) on the HI/SMI Query Response (HIQR) Screen (see MSOM QUERIES 008.001). The dates of enrollment and disenrollment can also be obtained from the MEQY. If termination information is not shown, assume that the individual is still enrolled in the MMCP.

If there is no enrollment information on the MEQY or a discrepancy in the dates shown, contact the appropriate CMS Regional Office (see HI 00801.143C.) for assistance in obtaining the necessary evidence.

C. CMS Regional offices

Region I (Boston)

(617) 565-1267
roboshpp@cms.hhs.gov

Region IV (Atlanta)

(404) 562-7360

roatlhpp@cms.hhs.gov

Region VII (Kansas City)

(816) 426-5783

rokcmmo@cms.hhs.gov

Region X (Seattle)

(206) 615-2351

roseammcb@cms.hhs.gov

Region II (New York)

(212) 264-3657
ronyhps@cms.hhs.gov

Region V (Chicago)

(312) 353-5737 rochiora@cms.hhs.gov

Region VIII (Denver)

(303) 844-1568

rodenpub@cms.hhs.gov
 

Region III (Philadelphia)


(215) 861-4224

rophihpp@cms.hhs.gov

Region VI (Dallas)

(214) 767-6401 rodalora@cms.hhs.gov

Region IX (San Francisco)

(415) 744-3617 rosfohpp@cms.hhs.gov

 

To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0600801143
HI 00801.143 - Evidence of Enrollment in A Medicare Managed Care Plan - 04/16/2015
Batch run: 04/16/2015