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Facilitated Enrollment: Facilitated enrollment applies to partial-benefit dual eligibles and other LIS-eligible individuals.

Part C Policy: Under facilitated enrollment, other LIS eligible individuals in MA-only plans are enrolled by the MAO into an MA-PD unless they opt out. Other LIS eligible individuals are defined as those deemed eligible for LIS because they are either: • Determined eligible for the full LIS upon initial enrollment into an MA-only plan, or, • An existing Medicare enrollee of an MA-only plan who becomes newly eligible for LIS.

Part D Policy: Other LIS eligible individuals not enrolled in a Part D plan are facilitated enrolled into a PDP by CMS.

Other LIS eligible individuals excluded from this enrollment type are also excluded from auto- enrollment (see exclusion list above).

LI NET: CMS implemented the Limited Income Newly Eligible Transition (LI NET) demonstration from January 1, 2010, to December 31, 2023, then as a permanent part of the Part D program starting January 1, 2024. LI NET provides immediate and retroactive Part D coverage for eligible low- income beneficiaries who do not yet have prescription drug coverage. Individuals who are LIS- eligible but do not yet have Part D coverage, and those individuals who have selected a Part D plan but whose enrollment has not taken effect, are enrolled by CMS into LI NET unless the individual has affirmatively declined enrollment in Part D. Individuals may be enrolled in LI NET through the auto- or facilitated enrollment processes, and may be automatically enrolled using the same processes into a Part D plan once LI NET coverage ends.

NOTE: Individuals may also enroll in LI NET through point of sale, application form, or direct reimbursement request.

LI NET enrollment begins on the first day of the month an individual is identified as LIS-eligible and ends after two months (or, for certain individuals with retroactive coverage, 36 months prior to the date such individual enrolls in (or opts out of) Part D coverage, whichever is later).

The LI NET sponsor solely qualifies to receive auto- or facilitated enrollments for limited periods of time, typically two months. CMS will auto- or facilitate enroll full-benefit dual eligible individuals and SSI benefit recipients into LI NET; partial-benefit dual eligible individuals and LIS applicants do not qualify for retroactive assignments.

An individual’s enrollment in the LI NET program, which provides transitional coverage, ends when: • The individual is auto-enrolled into a standalone Part D plan and that coverage has taken effect. • The individual elects another Part D plan and that coverage has taken effect. • The individual voluntarily disenrolls from the LI NET program.