Mental Health Part D Resources

Plan Year 2007

Medicare Prescription Drug Appeals & Grievances

This CMS section is of particular importance to beneficiaries receiving Part D drug benefits. To access the site, click here and use the navigation tool on the left side of the CMS page to link to sub-pages with more detailed information on the following areas:

• Overview
• Grievances
• Coverage Determinations and Exceptions
• Exceptions
• Appeals Overview
• Redetermination by the Part D Plan Sponsor
• Reconsiderations by the Independent Review Entity
• Hearing by an Administrative Law Judge
• Review by the Medicare Appeals Council
• Review by a Federal District Court
• Guidance
• Legal References
• Forms
• Plan Sponsor Notices and Other Documents