Full Answer
What training is required to administer the new 701B?
Before administering the new 701B, assessors and case managers must complete the online training and retain a certificate to demonstrate they successfully passed the final examination. For further guidance, see Notice of Instruction #061413-1-I-SWCBS and its attachments at the following link:
How to sign up for Medicare Part B if you lost coverage?
You lost job-based health coverage within the last 8 months. To sign up for Part B using a Special Enrollment Period, you’ll also need to fill out and submit an Application for Enrollment in Part B (CMS-40B) form at the same time.
How do I become a 701B assessor or case manager?
The Department has produced a web-based training curriculum for assessors and case managers who conduct comprehensive assessments. Before administering the new 701B, assessors and case managers must complete the online training and retain a certificate to demonstrate they successfully passed the final examination.
When can I sign up for Medicare Part B?
If you want to sign up for Part B during the General Enrollment Period (GEP) from January 1 – March 31 each year. If you refused Part B during your IEP because you had group health plan (GHP) coverage through your or your spouse’s current employment. You may sign up during your 8-month Special Enrollment Period (SEP).
Thank you for your input!
The Department collected feedback on the current 701 suite of forms through a survey that closed October 19, 2018. Thank you to all respondents for your valued feedback.
Descriptions and Links
This form is a comprehensive assessment to be administered face-to-face to identify resources and deficits in case-managed clients.
What is the number to call for Part B?
If you have questions, call Social Security at 1-800-772-1213. TTY users should call 1-800-325-0778.
What is the OMB control number?
The valid OMB control number for this information collection is 0938-1230.
What happens if you don't sign up for Part B?
If you don’t sign up for Part B during your IEP, you can sign up during the GEP. The GEP runs from January 1 through March 31 of each year. If you sign up during a GEP, your Part B coverage begins July 1 of that year. You may have to pay a late enrollment penalty if you sign up during the GEP. The cost of your Part B premium will go up 10% for each 12-month period that you could have had Part B but didn’t sign up. You may have to pay this late enrollment penalty aslong as you have Part B coverage.
What is the witness signature in question 11?
In the case that question 9 is signed by an “X” instead of a written signature, a witness signature is needed in question 11 showing that the person who signs the application is the person represented on the application. If a witness signs this application, the witness must provide the date of the signature.
How much is the late enrollment penalty for Part B?
If you sign up after your IEP, you may have to pay a late enrollment penalty (LEP) of 10% for each full 12-month period you don’t have Part B but were eligible to sign up.
When is Medicare enrollment period?
During your Initial Enrollment Period (IEP) when you’re first eligible for Medicare. During the General Enrollment Period (GEP) from January 1 through March 31 of each year. If you’re eligible for a Special Enrollment Period (SEP), like if you’re covered under a group health plan (GHP) based on current employment.
How long does an IEP last?
Initial Enrollment Period. Your IEP is the first chance you have to sign up for Part B.It lasts for 7 months. It begins 3 months before the month you reach 65, and it ends 3 months after you reach 65.
Where are Medicare records stored?
If your Medicare beneficiaries’ medical records are stored at a location other than the Practice Location Address shown in section 4A complete this section with the name and address of the storage location. This includes the records for both current and former Medicare beneficiaries.
Who must be included in OTP?
The OTP must include the following information for all employees, whether W-2 or not, and contracted staff, who are legally authorized to order and/or dispense controlled substances, whether or not the individual is currently ordering and/or dispensing at the OTP facility.
What is billing agency?
billing agency/agent is a company or individual that you contract with to prepare and submit your claims. If you use a billing agency/agent you must complete this section. Even if you use a billing agency/agent, you remain responsible for the accuracy of the claims submitted on your behalf.
What to do if there is no subsection in section 2B?
If no subsection is associated with your supplier type, check the box stating the information is not applicable.
Do radiologists bill E&M codes?
A radiologist’s practice is generally different from those of other physicians because radiologists usually do not bill E&M codes or treat a patient’s medical condition on an ongoing basis. A radiologist or group practice of radiologists is not necessarily required to enroll as an IDTF. If enrolling as a diagnostic radiology group practice or clinic and billing for the technical component of diagnostic radiological tests without enrolling as an IDTF (if the entity is a free standing diagnostic facility), it should contact the carrier to determine that it does not need to enroll as an IDTF.
Does this supervising physician provide supervision at any other IDTF?
Does this supervising physician provide supervision at any other IDTF? ....................................... YES NOIf yes, list all other IDTFs for which this physician provides supervision. For more than five, copy this sheet.
