CMS created the “best available evidence” BAE policy in 2006 requiring plans to establish the appropriate cost-sharing for low-income beneficiaries when presented with evidence that the beneficiary’s information was not accurate. CMS continues to require Part D plans to rely on best available evidence and considers it best practice for the Part D plans to work with pharmacies to resolve these issues at point-of-sale when beneficiaries present with appropriate evidence of correct low-income status.
For more information on the best available evidence policy click on the link below. Please note that upon clicking the link below, you will be leaving our website and continuing on to CMS's own official site.
- Best Available Evidence Policy -