Get the free Form CMS 10797 CMS 10797 Application for Part A and Part B Special Enro. Special Enr...
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Form Approved OMB No. 0938xxxx Expires: xx/department OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICESAPPLICATION FOR MEDICARE PART A AND PART B SPECIAL ENROLLMENT PERIOD (EXCEPTIONAL
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What is form cms 10797 cms?
Form CMS-10797 is a form used by Centers for Medicare & Medicaid Services (CMS) to collect information from employers who offer prescription drug coverage to Medicare-eligible individuals.
Who is required to file form cms 10797 cms?
Employers who provide prescription drug coverage to Medicare-eligible individuals are required to file Form CMS-10797.
How to fill out form cms 10797 cms?
Form CMS-10797 can be filled out online or submitted by mail. Employers need to provide information about the prescription drug coverage offered to Medicare-eligible individuals.
What is the purpose of form cms 10797 cms?
The purpose of Form CMS-10797 is to collect data on prescription drug coverage offered to Medicare-eligible individuals to ensure compliance with Medicare regulations.
What information must be reported on form cms 10797 cms?
Employers must report details about the prescription drug coverage, including cost-sharing amounts, coverage limits, and any changes in coverage.
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