HI 00801: Hospital Insurance Entitlement
TN 31 (06-04)
A. Policy
In all cases of enrollment or premium surcharge relief under the transfer enrollment period provisions, it is necessary to verify that the individual is or was enrolled in an MMCP that meets the requirements in HI 00208.066C.2. and HI 00208.066.D.
B. Procedure
Enrollment in an MMCP can be verified by checking the Medicare Enrollment Query (MEQY) on the HI/SMI Query Response (HIQR) Screen (see MSOM QUERIES 008.001). The dates of enrollment and disenrollment can also be obtained from the MEQY. If termination information is not shown, assume that the individual is still enrolled in the MMCP.
If there is no enrollment information on the MEQY or a discrepancy in the dates shown, contact the appropriate CMS Regional Office (see HI 00801.143C.) for assistance in obtaining the necessary evidence.
C. CMS Regional offices
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Region I (Boston) (617) 565-1267 |
Region IV (Atlanta) (404) 562-7360 roatlhpp@cms.hhs.gov |
Region VII (Kansas City) (816) 426-5783 rokcmmo@cms.hhs.gov |
Region X (Seattle) (206) 615-2351 roseammcb@cms.hhs.gov |
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Region II (New York) (212) 264-3657 |
Region V (Chicago) (312) 353-5737 rochiora@cms.hhs.gov |
Region VIII (Denver) (303) 844-1568 rodenpub@cms.hhs.gov |
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Region III (Philadelphia)
rophihpp@cms.hhs.gov |
Region VI (Dallas) (214) 767-6401 rodalora@cms.hhs.gov |
Region IX (San Francisco) (415) 744-3617 rosfohpp@cms.hhs.gov |