Medicare Advantage and Dual Advantage

Best Available Evidence

What is Best Available Evidence? 

The Centers for Medicaid and Medicare Services (CMS) created the Best Available Evidence (BAE) policy in 2006 for Part D plans that administer the Low-Income Subsidy (LIS) program, including the reduction of cost sharing for subsidy-eligible individuals.
 
This policy requires plans to accept certain forms of documentation for a beneficiary’s eligibility for LIS, to change the beneficiary’s cost-sharing levels in the plans system based on that documentation, and for LIS beneficiaries to submit to CMS requests for correction of the data in their system if the changes do not occur as a result of routine State reporting.

Click on the following link to obtain more information about Best Available Evidence (Please note that by clicking on this link, you will leave Fidelis Care’s website).


 

Questions? Call our Member Services Department at 1-800-247-1447 (TTY: 1-800-695-8544). From October 1 to February 14, our office hours are 8:00 a.m. to 8:00 p.m. seven days a week and from February 15 through September 30, our office hours are Monday through Friday, 8:00 a.m. to 8:00 p.m.

Fidelis Care is an HMO plan with a Medicare contract. Enrollment in Fidelis Care depends on contract renewal.

Fidelis Care is a Coordinated Care plan with a Medicare contract and a contract with the New York State Department of Health Medicaid program. Enrollment in Fidelis Care depends on contract renewal.

(Updated 10/12/2016) H3328_FC 16153 Approved

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