Medicare Buy-In
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Medicare Buy-In


Revised March 25, 2011



MEDICARE BUY-IN

What is the Medicare Buy-In interface?

 

What information is sent in the Buy-In file?

 

What system updates occur as a result of the Buy-In interface?

 


 

What is the Medicare Buy-In interface?

 

·        The Medicare Buy-In interface is an exchange of information between ACES and the Health Care Financing Administration (HCFA) to ensure clients are added or deleted from the State’s Medicare Buy-In program. This interface runs monthly.

 

What information is sent in the Buy-In file?

 

·         ACES sends a potential Buy-In file of clients who appear to be eligible for Buy-In but who have not yet been identified by either ACES or HCFA as having been “bought in”.  

 

What system updates occur as a result of the Buy-In interface?

 

·        ACES uses the data received back from HCFA to automatically update changes of Medicare Part A and Part B premium payment data on the TPL1 screen in the Paid By field.

 

·          ACES also uses the transaction data to update clients’ Medicare (Title XVIII) data.

Modification Date: March 25, 2011