NMP: Part B Deductible, Hospice, and MDPP Response Expansion

The Noridian Medicare Portal (NMP) information returned within the eligibility inquiry responses has been updated to include expanded deductible information for multiple years, more comprehensive hospice episodes, and Medicare Diabetes Prevention Program (MDPP) service periods.

Part B Deductible
An Eligibility inquiry will now return Part B deductible information for all benefit periods included in the date of service entered in the inquiry. For example, when using the default date of service range, 12 months in the past and four months in the future based on the current date, the portal will return deductible information for benefit periods 2018, 2019 and 2020 (when available). In addition, a Qualified Medicare Beneficiary (QMB) enrolled indicator will provide if the beneficiary was a QMB enrollee during that benefit period.

Hospice
All applicable hospice episodes for the beneficiary will be returned regardless of the dates of service entered in the Eligibility inquiry.  

Medicare Diabetes Prevention Program (MDPP)
The MDPP is available for a minimum of 12 months and a maximum of 24 months. The maximum service period is determined by the end date of Period 2. The MDPP section of an Eligibility will now include this Period 2 End Date. This will ensure no active MDPP periods are returned after the maximum service period date.

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Last Updated Nov 07, 2019