DetailsEB

Medicare Part D Disclosure to CMS

02/18/2019 Written by: AP Employee Benefits

Each year, employers whose health plans provide prescription drug coverage to Medicare-eligible individuals must disclose to the Center for Medicare and Medicaid Services (CMS) whether that coverage is creditable or non-creditable. This process is referred to as “Disclosure to CMS”.  Disclosure to CMS is required whether the entity’s coverage is primary or secondary to Medicare.  For information on determining whether prescription drug coverage is “creditable”, visit CMS’ Creditable Coverage website.
The disclosure must be submitted to CMS on an annual basis, and also upon any change that affects whether the prescription drug coverage is creditable. At a minimum, the Disclosure to CMS Form must be provided at the following times:

  • Within 60 days after the beginning date of the plan year for which the disclosure is provided (since 2016 is a leap year, for calendar year plan years, this means the disclosure is due FEBRUARY 29TH, not March 1st);
  • Within 30 days after the termination of the prescription drug coverage provided by the plan; and
  • Within 30 days after any change in the creditable coverage status of the prescription drug coverage provided by the plan.

The sole method for complying with this requirement is through completion of the online Disclosure to CMS Form on the CMS Creditable Coverage web page. CMS has also provided instructions for detailed descriptions of the form’s required data fields and guidance on how to complete the form.
CMS frequently updates the published forms and material related to Part D Compliance. For current updates, please visit the Creditable Coverage section of the CMS website.

State-of-llinois-Set-to-Require-Health-Coverage-for-Parents-in-2026
State of Illinois Set to Require Health Coverage for Parents in 2026
Blog08/07/2025
employee-benefits compliance

Set to go into effect on January 1, 2026, Illinois House Bill 5258 will amend the Illinois Insurance Code, the Health Maintenance Organization Act, and the Limited Health Service Organization Act to...

Solving-Todays-Employee-Benefits-Challenges-Starts-with-the-Right-Resources
Solving Today’s Employee Benefits Challenges Starts with the Right Resources
Blog08/07/2025
employee-benefits

Today’s workforce expects more from their employee benefits. They’re looking for greater clarity, easier access to information, and meaningful support when it matters the most. Yet, many employees...

ACA-Affordability-Rates-Announced-for-2026
ACA Affordability Rates Announced for 2026
Blog07/28/2025
employee-benefits compliance

With the issuance of Rev. Proc. 2025-25 , the IRS announced the 2026 indexing adjustment percentage for determining affordability of employer-sponsored health coverage under the Affordable Care Act...