Attention Enrollees in the IVIG Demonstration
The Medicare IVIG Demonstration is a three-year demonstration that will end September 30, 2017. No payment will be made for demonstration services (supplies and related nursing services to administer IVIG in your home) provided after that date.
The traditional Medicare fee-for-service program will continue to pay for IVIG, but once the demonstration ends, it will no longer pay for the services and supplies to administer the drug unless you are receiving covered Medicare home health services.
Talk to your doctor to determine what options are available for you to continue to receive IVIG after September 30, 2017. You may be able to arrange to receive the drug at your doctor's office or other outpatient setting or, if medically appropriate, switch to a subcutaneous form of immune globulin that can be self-administered.
If you plan to continue receiving IVIG in your home, contact your Medicare supplier who provides the medication to explain that Medicare will no longer cover the costs for supplies and related nursing services to administer IVIG in your home. You will be responsible for all costs related to the administration of the IVIG.
Information for Beneficiaries
Applications for participation in the IVIG Demonstration will continue to be accepted on a rolling basis until Medicare reaches or projects it will reach the statutory limit on funding and/or enrollment (4,000 beneficiaries). At this time, applications are still being received.
Please note that in order to be enrolled in the IVIG Demonstration, a beneficiary must:
- Be covered under Medicare Fee-For-Service and enrolled in Part B,
- Have a diagnosis of Primary Immune Deficiency Disease (PIDD), and
- Not be currently covered under a home health episode of care.
IVIG Demonstration Enrollment Application
All beneficiaries must complete and submit a signed application in order to be considered for this demonstration. The blank application may be printed and completed manually or filled in online and printed before signing. Once completed and signed by the beneficiary, the application must also be signed by the beneficiary's treating physician:
Your version of Adobe Acrobat may offer a feature to "digitally sign" the application document. Users should not use this feature as it does not properly qualify as a signature. Once completed, the application must be printed and signed with an ink pen.
IVIG Demonstration Enrollment Application Guide
These guides provide complete instructions for completing the IVIG Demonstration Enrollment Application.
Submitting the Application
By Fax - Completed IVIG Demonstration applications can be faxed to: 701-277-2428.
By Mail - Completed IVIG Demonstration applications can be mailed to:
Noridian Healthcare Solutions
PO Box 6788
Fargo ND 58108-6788
Noridian Healthcare Solutions
900 42nd St S
Fargo ND 58103
All IVIG Demonstration applicants will be notified within ten business days of receipt of a complete application of their status and the effective date of their coverage under the demonstration.
Effective Dates for Enrollment
Completed applications received by the 15th of the month, if eligible, will have coverage effective the first of the next month.
Completed applications received after the 15th of the month, if eligible, will have coverage effective the first date of the month following the next month. For example, if an application is received on September 15th, coverage will be effective October 1. If an application is received on September 20th, coverage will be effective November 1.
Last Updated Jun 07, 2016