Please note we have implemented new fax lines for Part D.
Please use the appropriate fax number below.
ProjectFunctionNew Fax Number
Part D Drug ALJ 720-462-7573
Part D Drug ALJ Expedited 720-462-7574
Part D Drug Plans and Enrollees 720-462-7575
Part D Drug Appeals Plans and Enrollees (Toll-free) 866-825-9507
Part D Drug Effectuations 720-462-7576
Part D Drug Prescriber Returned Requests 720-462-7579
Part D LEP Plans 720-462-7577
Part D LEP Requestors 720-462-7578
Part D LEP Appeals Plans and Enrollees (Toll-free) 866-589-5241

If you have questions, please contact our Customer Support line at 877.456.5302 for both Drug and Late Enrollment Penalty Appeals, or e-mail us at medicarepartdappeals@maximus.com. Thank you.

Effectuation Appeal Search

  1. Enter the Appeal Number or Plan Contract Number
  2. Select Date type to search
  3. Enter Start Date and End Date
  4. Click the Search button
Example: 1-123456789

- Or -

Example: H9999
Decision Date, Compliance Notice Receipt Date, Date Effectuated

Important note: Data is refreshed once daily between 8:00 am and 10:00 am EST. During this time period you may get partial search results while the data refresh is loading. Results will only reflect data entered during normal operating hours from the previous business day. Additional delays in updated data availability may occur at least once monthly due to source system patching, or in the event of an unplanned outage. For optimal results, please allow at least one full business day for complete data refresh.

Definitions:

Appeal Number - The number assigned by the Medicare Appeal System (MAS) to the Level 2, or Level 3 appeal.
Proceeding Type - Indicates if the appeal is a Level 2 Reconsideration, Reopening, or ALJ.
Decision Date - The date the Part D QIC or ALJ rendered its decision.
Decision - Indicates the type of Decision made by the Part D QIC or ALJ.
Compliance Notice Receipt Date - The date the Part D QIC receives notice from the plan indicating the appeal has been effectuated.
Date Effectuated - The date the plan indicated that the item/service at issue in the appeal had been approved/paid.

For information about the availability of auxiliary aids and services, please visit:
http://www.medicare.gov/about-us/nondiscrimination/nondiscrimination-notice.html

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