Relevant to: Part D Sponsors
This is the annual routine guidance with information to plan sponsors about:
- The process used by the Centers for Medicare & Medicaid Services (CMS) and the Social
Security Administration (SSA) to redetermine Medicare beneficiaries’ low-income
subsidy (LIS) eligibility; - An optional grace period for individuals who will no longer automatically qualify for the
Part D LIS in 2024; - A special enrollment period (SEP) for individuals who lose their LIS eligibility;
- CMS’ expectations regarding Part D sponsors’ responsibility for conducting outreach to
members who no longer automatically qualify for LIS in 2024 and steps sponsors may take
to ease their members’ transition; and - Two files from CMS to all Part D plan sponsors identifying individuals whom CMS has
notified about their loss of LIS in 2024.
