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Issue_Spotlights

Medicare
Top Story

Mental Health Groups Launch Web Site Dedicated to Medicare’s New Prescription Drug Benefit
Leading mental health organizations have joined together to create a central resource on Medicare’s new prescription drug benefit. The new website, www.mentalhealthpartd.org, contains easy-to-understand, top-line information tailored specifically to psychiatrists and other physicians, providers at community health centers, and consumers and their families.


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Understanding the Issue:

Medicare Drug Benefit Update: 2010 Plan Year Enrollment Begins
This week marks the start of the open enrollment period for the Medicare Part D drug benefit for 2010. The "open season" period for 2010 drug plan enrollment runs through December 31.

NAMI Comments on Medicare Part D Regulations on Drug Formulary Coverage Rules
Read NAMI's comments on Federal regulations related to the Medicare Advantage and Medicare Prescription Drug Programs MIPPA Drug Formulary and Protected Classes Policies.

NAMI's Letter of Support for HR 6331


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NAMI's Position on the Issue:

NAMI Presses CMS to Ensure that Atypical Antipsychotics are Included in the Upcoming Medicare Part B Competitive Acquisition Program (CAP)
Earlier this year, NAMI pushed the Centers for Medicare and Medicaid Services (CMS) to include atypical antipsychotic medications in the Part B CAP program covering non-self-injectible medications administered in physician offices and clinics.

The New Medicare Drug Plan and Beneficiaries with Mental Illnesses
The new Medicare drug benefit will help seniors and people with disabilities who receive Medicare benefits by providing coverage for prescription drugs. Frequently asked questions regarding the benefit, which may be of particular interest to beneficiaries with mental illnesses, are answered in this document.

Bob Dole on the New Medicare Drug Benefit
Bob Dole supports the new Medicare drug benefit for seniors and people living with disabilities.


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Take Action!

Contact Your Representatives about Medicare
Use our online advocacy tool to send a letter to your elected officials right now and make your voice heard on this issue. Use our suggested text or compose a letter of your own.

Sign Up for E-News Alerts
Keep up with the latest developments on this issue by subscribing to E-News, our free action alert newsletter.



Other Resources:

New Resources on the Medicare Part D Coverage Gap
Two new brochures from YourPharmacyBenefit.org can help you understand the Medicare part D coverage gap and how to effectively deal with it.

Medicare Interactive Website
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What If Sheet - after Transition Period pdf
Medicare Part D "What if sheet" for issues after the Transition Period Ended on March 31, 2006

Quick Answers to FAQs on Processing Claims for Dual Eligible Beneficiaries
Learn more about what to do if there are problems with filling prescriptions by dual eligibles enrolled in the new Medicare Part D.

MAPRx Website Now Available
The MAPRx (Medicare Access for Patients Rx) website is now available to help you navigate through the Medicare Prescription Drug Coverage plans.

Partnership for Prescription Assistance
A new toll-free number and Web site provide help to those who lack prescription coverage or cannot afford their medications.

NAMI Policy Research Institute
Learn more about NAMI's Policy Research Institute, whose mission is to drive national, state, and local debates on reforms and investments in the nation's mental illness delivery and financing system.

Medicare Prescription Discount Card Now Available
As of June 1, savings on prescription drugs became available to Medicare beneficiaries under the Drug Discount Card program.

NAMI Position on Medicare Conference Report
The new benefits for prescription drug coverage and protections for vulnerable, low-income beneficiaries (including those dually eligible for both Medicare and Medicaid) appear to be a major improvement over the status quo and previous congressional proposals. As a result, NAMI has sent a letter to House and Senate leaders urging members to vote in favor of passage later this week.

The New Medicare Drug Plan and Beneficiaries with Mental Illness
On December 8, 2003, President Bush signed into law the Medicare Modernization Act - a new law expanding the Medicare program to offer coverage for outpatient prescription drugs. While few of the new law's provisions apply solely to Medicare beneficiaries living with mental illness, the expanded coverage includes many changes that will impact the way Medicare is able to pay for mental illness treatment. This document contains commonly asked questions and answers about the how the new law will affect beneficiaries with mental illness (both elderly and non-elderly Social Security Disability Insurance (SSDI) beneficiaries).


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