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Certificate of creditable coverage

Certificate of creditable coverage 2025

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The document is an administrative directive from the New York State Department of Health regarding the issuance of Certificates of Creditable Coverage (CCC) for Medicaid recipients who lose their eligibility, as mandated by the Health Insurance Portability and Accountability Act (HIPAA) of 1996. It outlines the purpose, background, program implications, required actions, and systems implications related to CCCs, which are intended to help individuals establish prior health coverage to reduce preexisting condition exclusions when obtaining new health insurance.

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Click ‘Get Form’ to open the certificate of creditable coverage in the editor.
Begin by entering your personal information in the designated fields, including your name, address, and contact number. Ensure accuracy as this information is crucial for processing.
Locate the section for Medicaid coverage dates. Fill in the start and end dates of your Medicaid coverage as indicated on your records.
If applicable, list any additional individuals who were covered under your Medicaid plan by filling out their names and corresponding coverage dates.
Review all entered information for completeness and correctness. This step is vital to avoid delays in receiving your certificate.
Once satisfied with the details, save your document and follow the instructions to submit it to your local department of social services.

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Who sends a creditable coverage notice?

All employers that provide prescription drug coverage to Medicare Part D individuals are required to notify those individuals whether the provided coverage is creditable, as part of the Medicare Part D creditable coverage requirements.

How do you prove creditable coverage?

A person will usually receive a Notice of Creditable Coverage in the mail every September, and they should keep this as proof should they later apply for Medicare coverage. If a person wishes to enroll in Medicare after their creditable coverage ends, they may be eligible for the Special Enrollment Period.

How to determine creditable coverage?

Creditable prescription drug coverage is prescription drug coverage thats expected to pay, on average, at least as much as Medicare drug coverage. This could include drug coverage from a current or former employer or union, TRICARE, the Indian Health Service, or the Department of Veterans Affairs (VA).

How to get a certificate of creditable coverage blue cross?

The certificate indicates the date on which an individuals coverage ends and how long the individual had the coverage. Individuals should retain this document for their records because the certificate provides evidence of an individuals prior coverage. HIPAA Creditable Coverage - CMS cms.gov HIPAACCandMMACC cms.gov HIPAACCandMMACC

What is considered creditable coverage?

How can I request a Certificate of Coverage? To request a Certificate of Coverage, contact your local Blue Cross and Blue Shield company. The phone number can be found on the back of your member ID card or you can visit the Contact Us section of this website.

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Are certificates of creditable coverage still necessary?

1. Do I still need a certificate of creditable coverage today? No. Since 2014, the Affordable Care Act prohibits insurers from denying coverage for pre-existing conditions, eliminating the legal need for COCCs.

What is not considered creditable coverage?

What does Non-Creditable Coverage mean? If you are Medicare-eligible and enrolled in UC Medicare PPO without Prescription Drugs, the plan is not expected to pay out as much as standard Medicare prescription drug coverage pays. Therefore, your coverage is considered Non-Creditable Coverage.