№ files_lp_3_process_9_32409
Federal administrative supporting statement outlining the statutory authority, implementation framework, eligibility criteria, and information collection process for beneficiary enrollment in the Medicare Part B IVIG Demonstration project.
Program: Medicare IVIG Demonstration
Administering Agency: Centers for Medicare & Medicaid Services (CMS)
Country: United States
Legal Basis: Medicare IVIG Access and Strengthening Medicare and Repaying Taxpayers Act of 2012
Extended Under: Disaster Tax Relief and Airport and Airway Extension Act of 2017
Further Extension: Consolidated Appropriations Act, 2021
OMB Control Number: 0938-1246
CMS Form Number: CMS-10518
Subject: Application for beneficiary participation in the IVIG Demonstration
Target Population: Medicare Part B beneficiaries with primary immune deficiency disease (PIDD)
Enrollment Cap: 6,500 beneficiaries (originally 4,000)
Funding Limit: $45 million including administrative and evaluation costs
Coverage Scope: Bundled payment for medically necessary supplies and services for in-home IVIG administration
Application Requirement: Mandatory signed application by beneficiary and provider
Submission Methods: Mail or fax
Languages Available: English and Spanish
Period of Demonstration: Through December 31, 2023 or until statutory limits are met
Participation Status: Voluntary; may be terminated by beneficiary at any time
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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