New Medicare Part B Immunosuppressant Drug Benefit - Revised

MLN Matters Number: MM12804 Revised
Related CR Release Date: December 22, 2022
Related CR Transmittal Number: R11764GI, R11764CP, and R11764BP
Related Change Request (CR) Number: 12804
Effective Date: January 1, 2023
Implementation Date: January 3, 2023

Note: CMS revised this Article due to a revised CR 12804. The CR revision didn’t change the substance of the Article. CMS did revise the CR release date, transmittal numbers, and web addresses of the transmittals. All other information is the same.

CR 12804 tells you about:

  • Extension of Medicare coverage for immunosuppressant drugs beyond 36 months for certain patients with kidney transplants
  • Coverage of premiums and cost sharing for some of these patients

Make sure your billing staff knows about the new benefit effective January 1, 2023.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)12804.

Last Updated Jan 19 , 2023