Medicare-Medicaid Plan (MMP) Enrollment Restrictions Resulting from the Comprehensive Addiction and Recovery Act of 2016 (CARA)

Author: 
Integrated Care Resource Center
Published: 
August 2020

This technical assistance tool describes the regulation that allows Medicare plans that provide prescription drug coverage (including MMPs) to use drug management programs to limit access to certain controlled substances determined to be “frequently abused drugs” for patients who are determined to be at-risk for prescription drug abuse due to the Comprehensive Addiction and Recovery Act of 2016 (CARA).

Related Resources:

Scripts for Medicare-Medicaid Plan (MMP) Enrollment Brokers Assisting Individuals with CARA Lock-In Indicators: https://www.integratedcareresourcecenter.com/resource/scripts-medicare-medicaid-plan-mmp-enrollment-brokers-assisting-individuals-cara-lock

Medicare Enrollment Periods and Special Election Periods for Dually Eligible Individuals: Reference Tables: https://www.integratedcareresourcecenter.com/resource/medicare-enrollment-periods-and-special-election-periods-dually-eligible-individuals

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