Reviewing LI NET Part D Coverage & the Best Available Evidence Policy

Reviewing LI NET Part D Coverage & the Best Available Evidence Policy

It’s been a while since we’ve talked about the Limited Income Newly Eligible Transition (LI NET) program for Part D coverage and the Best Available Evidence (BAE) policy, and sometimes people get these confused.

To clarify, LI NET is a  “safety net” Part D prescription drug coverage for low-income subsidy (LIS) eligible beneficiaries who are NOT currently enrolled in a Part D plan. The Best Available Evidence policy, however, is for people who ARE enrolled in a Part D plan, and is used when a person’s plan does not know s/he is LIS eligible. In these situations, instead of putting the burden of providing “official” proof of LIS eligibility on the beneficiary, the BAE policy allows for the beneficiary to show minimal evidence and therefore receive their prescriptions at the lower subsidized cost.

For more information on LI NET, see the Centers for Mediare and Medicaid Services’ (CMS) recent LI NET update (PDF).

For more information on the Best Available Evidence policy, see our BAE article.

Karen Fletcher
Our blogger Karen J. Fletcher is CHA's publications consultant. She provides technical expertise, writing and research on Medicare, health disparities and other health care issues. With a Masters in Public Health from UC Berkeley, she serves in health advocacy as a trainer and consultant. See her current articles.