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Please note we have implemented new fax lines for Part D.
Please use the appropriate fax number below.
Please use the appropriate fax number below.
| Project | Function | New 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.
Obtain a Copy Of Your Case File
Every Medicare enrollee is entitled to a copy of his or her case file under the Freedom of Information Act and/or the Privacy Act of 1974. If you would like a copy of your file, please send your request to MAXIMUS Federal Services. MAXIMUS Federal Services will then send you the required forms to process the request.
| Drug Benefit Appeals | LEP Appeals |
| Maximus Federal Services Part D QIC-Drug Appeals 3750 Monroe Avenue, Suite 703 Pittsford, NY 14534-1302 |
Maximus Federal Services Part D QIC-LEP Appeals 3750 Monroe Avenue, Suite 704 Pittsford, NY 14534-1302 |
| Toll-Free Numbers: Phone: (877) 456-5302 Fax: (866) 825-9507 |
Toll-Free Numbers: Phone: (877) 456-5302 Fax: (866) 589-5241 |
“Privacy Act Request” is defined as a request made by an individual for documents or information regarding an individual maintained within a system of records by a federal government agency or contractor. Examples of Privacy Act requests include: a) Enrollee requesting copy of his/her case file, and b) the Legal guardian of enrollee requesting a copy of enrollee’s case file.
“FOIA Request” is defined as a request for records related to work for a federal agency or for information on an individual other than the requestor. Examples of a FOIA request include: a) a researcher looking for specific information such as number of appeals brought by individuals in Monroe County, New York, or b) a Medicare Part D Plan requesting a copy of one of its enrollee’s case file
Click on the following links for more information:
Standards for Privacy of Individually Identifiable Health Info
For information about the availability of auxiliary aids and services, please visit:
http://www.medicare.gov/about-us/nondiscrimination/nondiscrimination-notice.html
