Effective 11/18/24: Medicare Beneficiary Eligibility Information Not Available on the IVR

Centers for Medicare and Medicaid Services (CMS) released a notice today stating, all Medicare Administrative Contractors (MACs), including NGSMedicare for Connecticut, must remove beneficiary eligibility information from the interactive voice response (IVR). This change is being made to help protect Medicare beneficiaries against fraud. Effective 11/18/2024, you will not be able to obtain beneficiary eligibility information from the Medicare IVR.

This includes beneficiary eligibility information that was obtained under Option 1, such as:

  • Part A and Part B entitlement dates
  • Current/prior year Part B deductible information
  • Current/prior year physical therapy and occupational therapy limit amount used
  • End-stage renal disease (ESRD) coverage dates, dialysis and/or transplant date
  • Home health and hospice (HH+H) name, National Provider Identifier (NPI), address and effective/termination dates
  • Preventive care details

Beneficiary eligibility information for your patients, will continue to be available through the secure internet portal, NGSConnex. If you are not currently enrolled in NGSConnex, follow the instructions in the Registration section of the applicable NGSConnex User Guide below to start the enrollment process:

Source: NGSMedicare.com