Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, requires CMS to remove Social Security Numbers from all Medicare cards by April 1, 2019. A new Medicare Beneficiary Identifier (MBI) will replace the existing Health Insurance Claim Number (HICN) on the new Medicare cards.
Effective April 1, 2018, Covered Persons who are new to the Medicare Program will be issued an identification card with the new MBI. Existing Medicare Covered Persons will receive their new identification cards with the new MBI via the mail in geographical waves starting in April 2018 and continuing until April 2019.
As a reminder, Participating Pharmacies can submit an E1 transaction to RelayHealth, the Transaction Facilitator. The E1 transaction helps determine a Covered Person’s Medicare Part D coverage and payer order if the Covered Person has insurance through more than one Benefit Plan Sponsor.
Participating Pharmacies generally submit E1 transactions when Covered Persons do not have their Medicare Part D Identification Card. As of April 1, 2018, Participating Pharmacies will be able to submit either the new MBI or HICN in the E-1 transaction to RelayHealth.
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