www.cms.gov
Open in
urlscan Pro
2a02:26f0:3100:78b::28a
Public Scan
URL:
https://www.cms.gov/training-education/partner-outreach-resources/low-income-subsidy-lis
Submission: On December 10 via api from US — Scanned from DE
Submission: On December 10 via api from US — Scanned from DE
Form analysis 2 forms found in the DOM
GET /search/cms
<form region="cms_header_secondary" action="/search/cms" method="get" id="search-block-form" accept-charset="UTF-8">
<div class="js-form-item form-item js-form-type-search form-item-keys js-form-item-keys form-no-label">
<label for="edit-keys" class="ds-c-label visually-hidden">Search</label>
<label class="ds-u-visibility--screen-reader" for="header-search-input">Search</label>
<input title="Enter the terms you wish to search for." data-drupal-selector="edit-keys" class="form-autocomplete form-search ds-c-field ds-u-lg-display--none ui-autocomplete-input" data-autocomplete-path="/suggestion/autocomplete"
data-region="cms_header_secondary" data-twig-suggestion="cms_header_secondary--search-form-block" type="search" id="header-search-input" name="keys" value="" maxlength="128" placeholder="Search for keywords, topics or resources"
autocomplete="off" data-once="autocomplete placeholder">
<button class="cms-clear-button ds-u-display--none" type="button" aria-controls="header-search-input hidden-header-list-wrapper" aria-label="Clear Search Terms"><i class="fal fa-times"></i></button>
<div class="cms-popular-search-terms ds-u-display--block ds-u-lg-display--none" id="hidden-header-list-wrapper">
<span id="list-header" class="cms-list-header">Popular terms</span>
<ul aria-labelledby="list-header">
<li data-once="headerSitewideTermMatch"><span class="term">Physician Fee Schedule</span><i class="far fa-long-arrow-right" focusable="false"></i></li>
<li data-once="headerSitewideTermMatch"><span class="term">Local Coverage Determination</span><i class="far fa-long-arrow-right" focusable="false"></i></li>
<li data-once="headerSitewideTermMatch"><span class="term">Medically Unlikely Edits</span><i class="far fa-long-arrow-right" focusable="false"></i></li>
<li data-once="headerSitewideTermMatch"><span class="term">Telehealth</span><i class="far fa-long-arrow-right" focusable="false"></i></li>
<li data-once="headerSitewideTermMatch"><span class="term">Covid-19</span><i class="far fa-long-arrow-right" focusable="false"></i></li>
</ul>
</div>
</div>
<div data-drupal-selector="edit-actions" class="form-actions js-form-wrapper form-wrapper" id="edit-actions--X9USrZC8LcE">
<div class="header-search-bar">
<input data-drupal-selector="edit-submit" data-twig-suggestion="cms_header_secondary--search-submit" type="submit" id="edit-submit--aka0GEhnpOA" value="Search" class="button js-form-submit form-submit ds-c-button ds-c-button--solid"
aria-controls="header-search-input" role="button" data-once="buttonMatch headerSitewideInitiatedMatch" aria-expanded="false">
<i class="fas fa-search" focusable="false"></i>
</div>
</div>
</form>POST https://public.govdelivery.com/accounts/USCMS/subscribers/qualify
<form aria-label="Enter your email address for email updates" accept-charset="UTF-8" action="https://public.govdelivery.com/accounts/USCMS/subscribers/qualify" id="email-footer-form" method="post"
data-drupal-form-fields="email-footer-input,email-submit">
<div class="ds-u-display--flex" id="email-form">
<div class="ds-u-display--flex ds-u-flex-direction--column flex-grow">
<label for="email" class="ds-u-font-weight--bold ds-u-margin-bottom--1 ds-u-margin-top--3">Email</label>
<input required="required" aria-label="Enter your email address:" name="email" type="text" placeholder="you@example.com" class="ds-c-field ds-u-margin-bottom--05">
</div>
<div class="submit-button ds-u-margin-top--2">
<label id="email-submit-label" for="email-footer-submit" class="ds-u-visibility--screen-reader">Sign up - opens in a new window</label>
<button id="email-submit" aria-labelledby="email-submit-label" class="ds-c-button ds-c-button--solid cms--external-button" name="email-footer-submit" type="submit" value="Sign up" data-once="signUpMatch">Sign up</button>
</div>
</div>
</form>Text Content
Skip to main content
An official website of the United States government
Here's how you know
Here's how you know
Official websites use .gov
A .gov website belongs to an official government organization in the United
States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you've safely connected to the .gov website. Share
sensitive information only on official, secure websites.
Centers for Medicare & Medicaid Services
CMS NEWSROOM
Header
* About CMS
* Newsroom
* Data & Research
SEARCH CMS.GOV
Search Search
Popular terms
* Physician Fee Schedule
* Local Coverage Determination
* Medically Unlikely Edits
* Telehealth
* Covid-19
CMS.GOV MAIN MENU
* Medicare
Back to main menu
MEDICARE
* Enrollment & renewal
Back to menu
ENROLLMENT & RENEWAL
* Original Medicare (Part A and B) Eligibility and Enrollment
* Annual Medicare Participation Announcement
* Providers & suppliers
* Medicare Managed Care Eligibility and Enrollment
* Part D Eligibility and Enrollment
* Health plans
* Coverage
Back to menu
COVERAGE
* Coverage Determination Process
* Medicare Coverage Database
* Approved facilities, trials, & registries
* Telehealth
* Medicare Summary Notice
* Prescription drug coverage contracting
* Coverage with evidence development
* Investigational device exemption studies
* Prescription drug coverage
* Drug coverage claims data
* Dental coverage
* Preventive Services
* Medicare Coverage Center
* End Stage Renal Disease (ESRD) Center
* Ambulances Services Center
* Regulations & guidance
Back to menu
REGULATIONS & GUIDANCE
* Manuals
* Transmittals
* CMS Records Schedule
* Medicare Fee-for-Service payment regulations
* National Provider Identifier Standard (NPI)
* Advisory committees
* Legislation
* Promoting Interoperability Programs
* CMS rulemaking
* CMS Hearing Officer
* Office of the Attorney Advisor (OAA)
* Provider Reimbursement Review Board (PRRB)
* Medicare Geographic Classification Review Board (MGCRB)
* Physician Self-Referral
* Quarterly provider updates
* E-Prescribing
* Coding & billing
Back to menu
CODING & BILLING
* Place of service codes
* ICD-10 codes
* Healthcare Common Procedure Coding System (HCPCS)
* Integrated Outpatient Code Editor
* National Correct Coding Initiative (NCCI) edits
* NCCI for Medicaid
* Electronic billing
* Medicare Administrative Contractors (MACs)
* Provider Customer Service Program
* Skilled Nursing Facility (SNF) consolidated billing
* Roster billing
* Therapy services
* Medicare claims & public health emergencies
* Guide for Medical Technology Companies and Other Interested Parties
* Payment
Back to menu
PAYMENT
* Medicare Part B Drug Average Sales Price
* All Fee-For-Service-Providers
* Fee schedules
* Prospective Payment Systems
* Opioid Treatment Programs (OTP)
* Covid-19 Vaccine Toolkit
* Bankruptcy
* Sustainable Growth Rates & Conversion Factors
* Medicare Advantage Rates & Statistics
* Medicare-Medicaid coordination
Back to menu
MEDICARE-MEDICAID COORDINATION
* Qualified Medicare beneficiary program
* Resources
* Qualified Medicare beneficiary program
* Spotlight
* Events
* Financial alignment initiative
* Initiative to reduce avoidable hospitalizations
* Reports & Guidance
* Program of All-Inclusive Care for the Elderly (PACE)
* Reporting Fraud
* Resources for Medicare-Medicaid plans
* Resources for state Medicaid agencies
* Healthcare Fraud Prevention Partnership
* Clinical Templates
* Appeals & grievances
Back to menu
APPEALS & GRIEVANCES
* Original Medicare appeals
* Managed Care appeals & grievances
* Medicare Prescription drug appeals & grievances
* Ombudsman Center
* Appeals Decision Search (Part C & Part D)
* Quality
Back to menu
QUALITY
* Value-based programs
* Person & Family Engagement
* Quality improvement organizations
* Nursing home quality improvement
* Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP)
* Home Health Quality Reporting Program
* ESRD Quality Incentive Program
* CMS National Quality Strategy
* Hospice Quality Reporting Program
* Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP)
* Appropriate Use Criteria Program
* Quality measures
* Clinical Laboratory Improvement Amendments (CLIA)
* Medicare Advantage quality improvement program
* Physician compare initiative
* Quality initiatives
* Part C and D Performance Data
* Skilled Nursing Facility (SNF) Quality Reporting Program (QRP)
* Health & safety standards
Back to menu
HEALTH & SAFETY STANDARDS
* Quality, safety & oversight - General information
* Accreditation programs
* Civil monetary penalties
* Quality, safety & oversight - Emergency preparedness
* State survey agencies
* Certification & compliance
* Enforcement
* Quality, safety & oversight - Guidance for laws & regulations
* Promising practices project
* Quality, safety & oversight - Education division (QSED)
* Conditions for coverage & participation
* Employers & plan sponsors
Back to menu
EMPLOYERS & PLAN SPONSORS
* Creditable coverage
* Innovation Center
Back to menu
INNOVATION CENTER
* Overview
* Audits & Compliance
Back to menu
AUDITS & COMPLIANCE
* Part A cost report audit
* Part C/Part D compliance & audits
* Forms & notices
Back to menu
FORMS & NOTICES
* CMS forms
* CMS forms list
* Beneficiary Notices Initiative (BNI)
* Health & drug plans
Back to menu
HEALTH & DRUG PLANS
* Plan payment
* Plan payment data
* Medical loss ratio
* Coverage Gap Discount Program
* Managed care marketing
* Medicare Advantage application
* Medigap (Medicare supplement health insurance)
* Medical Savings Account (MSA)
* Private Fee-for-Service Plans
* Health Care Prepayment Plans (HCPPs)
* Cost plans
* Special needs plans
* Network adequacy
* Coordination of benefits & recovery
Back to menu
COORDINATION OF BENEFITS & RECOVERY
* Overview
* Mandatory Insurer Reporting for Group Health Plans (GHP)
* Mandatory insurer reporting (NGHP)
* Workers' comp Medicare set aside arrangements
* Attorney services
* Beneficiary services
* COBA Trading Partners
* Employer services
* Insurer services
* Prescription drug assistance programs
* Provider services
* Settlements
Back to menu
SETTLEMENTS
* Jimmo Settlement
* Ryan Settlement
Close this menu
* Medicaid/CHIP
Back to main menu
MEDICAID/CHIP
* What is Medicaid?
Back to menu
WHAT IS MEDICAID?
* Visit Medicaid.gov
* View Medicaid maps
* Visit CHIP.gov
* Medicare-Medicaid Coordination
Back to menu
MEDICARE-MEDICAID COORDINATION
* Integrated care resources
* Initiative to reduce avoidable hospitalizations
* Financial alignment initiative
* Medicaid Integrity Institute
* Regulations & guidance
Back to menu
REGULATIONS & GUIDANCE
* Manuals
* Transmittals
* CMS Records Schedule
* Medicare Fee-for-Service payment regulations
* National Provider Identifier Standard (NPI)
* Advisory committees
* Legislation
* Promoting Interoperability Programs
* CMS rulemaking
* CMS Hearing Officer
* Office of the Attorney Advisor (OAA)
* Provider Reimbursement Review Board (PRRB)
* Medicare Geographic Classification Review Board (MGCRB)
* Physician Self-Referral
* Quarterly provider updates
* E-Prescribing
* Innovation Center
Back to menu
INNOVATION CENTER
* Overview
Close this menu
* Marketplace & Private Insurance
Back to main menu
MARKETPLACE & PRIVATE INSURANCE
* About the Marketplace
Back to menu
ABOUT THE MARKETPLACE
* Marketplace oversight
* Affordable Care Act
* Overview of the exchanges
* Exchange coverage maps
* Medicare and the Marketplace
* Private Health Insurance
Back to menu
PRIVATE HEALTH INSURANCE
* Patient’s Bill of Rights
* Medical loss ratio
* Annual limits
* Review of insurance rates
* Market rating
* Self-funded, non-federal governmental plans
* Grandfathered plans
* Health Reimbursement Arrangements
* Coverage for young adults
* Student health plans
* Mental health parity and addiction equity
* Prevention
* Consumer protections & enforcement
* Pre-existing condition insurance plan
* Qualifying Health Coverage (QHC)
* Regulations & guidance
Back to menu
REGULATIONS & GUIDANCE
* CCIIO Regulations & Guidance
* Manuals
* Transmittals
* CMS Records Schedule
* Medicare Fee-for-Service payment regulations
* National Provider Identifier Standard (NPI)
* Advisory committees
* Legislation
* Promoting Interoperability Programs
* CMS rulemaking
* CMS Hearing Officer
* Office of the Attorney Advisor (OAA)
* Provider Reimbursement Review Board (PRRB)
* Medicare Geographic Classification Review Board (MGCRB)
* Physician Self-Referral
* Quarterly provider updates
* E-Prescribing
* In-person assisters
Back to menu
IN-PERSON ASSISTERS
* Information for Partners
* Assister outreach & education
* Applications, forms, & notices
* Assister programs & procedures
* Assister technical resources
* Assister training & webinars
* Agents & Brokers
Back to menu
AGENTS & BROKERS
* Resources for Agent & Brokers
* Registration & training
* Open enrollment
* Direct enrollment partners
* General resources
* Video Learning Center
* Agent & Broker FAQ
* Marketplace help desk & call centers
* Registration Completion List
* Marketplace Registration Tracker
* AB Suspension & Termination List
* Find local help
* Issuer and direct enrollment partner directory
* Help on demand
* SHOP Resources
* Health Plans & Issuers
Back to menu
HEALTH PLANS & ISSUERS
* Qualified health plan certification
* Summary of benefits & coverage
* Insurance programs
* Premium stabilization programs
* Health insurance market reforms
* Minimum essential coverage
* Drug pricing & rebate review
* Employers & sponsors
Back to menu
EMPLOYERS & SPONSORS
* Coverage
* Regulation & guidance
* Small business tax credit & premium assistance
* Appeals
* Small Business Health Options Program (SHOP)
* Early retiree reinsurance program
* Employer initiatives
* States
Back to menu
STATES
* Planning & establishing a Marketplace
* Territory cooperative agreements
* Early innovator program
* State flexibility to stabilize the Market
* Exchange establishment grants
* Pre-existing condition insurance plan
* Resources
Back to menu
RESOURCES
* About Us
* Data resources
* Forms, reports, & other resources
* Letters
* Regulations & Guidance
* Training resources
Close this menu
* Priorities
Back to main menu
PRIORITIES
* Innovation Center
Back to menu
INNOVATION CENTER
* Overview
* About
* Key Concepts
* Model Data
* Value-Based Care Spotlight
* Innovation Models
* Where Innovation is Happening
* Evaluations & Research Reports
* Health Equity
Back to menu
HEALTH EQUITY
* Coverage to Care
* Minority health
* Cobertura de atención
* Grants & awards
* Recent Legislation
Back to menu
RECENT LEGISLATION
* Inflation Reduction Act and Medicare
* No Surprises Act
* Key Initiatives
Back to menu
KEY INITIATIVES
* Opioids
* Flu
* Medicare Open Enrollment
* Medicare OE partner resources
* Marketplace Open Enrollment
* E-health
* Open Payments
* Returning to regular operations after COVID-19
* Healthplan price transparency
* Burden Reduction
* About OHEI
* Stakeholder Engagement
* Administrative Simplification
* Interoperability
* Spotlight
* Contact OHEI
* Hospital price transparency
* Lookup tools
* Your Patient Rights
Back to menu
YOUR PATIENT RIGHTS
* Emergency Room Rights
* Medical bill rights
Close this menu
* Training & Education
Back to main menu
TRAINING & EDUCATION
* CMS National Training Program
Back to menu
CMS NATIONAL TRAINING PROGRAM
* National Training Program resources
* Class modules
* Partner outreach resources
Back to menu
PARTNER OUTREACH RESOURCES
* Partner with CMS
* National Medicare Education Program (NMEP)
* Low-Income Subsidy (LIS) outreach
* Become a champion for coverage
* Faith-Based Partners
* Rural Health Partners
* American Indian/Alaska Native
* Partnering with CMS Center
* Medicare Learning Network® (MLN)
Back to menu
MEDICARE LEARNING NETWORK® (MLN)
* Resources & training
* Newsletter
* Compliance
* Partnerships
* CMS Open Door Forums
Back to menu
CMS OPEN DOOR FORUMS
* About Open Door Forums
* Ambulance
* End-Stage Renal Disease (ESRD) Dialysis Facility Care Compare
* Home Health, Hospice & Durable Medical Equipment (DME)
* Hospital
* Long-Term Services & Supports
* Physicians, Nurses and Allied Health Professionals
* Rural Health
* Skilled Nursing Facilities (SNFs)/Long-Term Care
* Special Open Door forums
* Look up topics
Back to menu
LOOK UP TOPICS
* Medicare
* Medicaid
* CHIP
* American Indian/Alaska Native Center
* Quality of care
* Special populations
* Fraud & abuse
* States
* Privacy
* Health conditions & campaigns
* New Medicare Card
* HIPAA Administrative Simplification
* Learn More
Back to menu
LEARN MORE
* Attend events
* Find resources
* Get training
* Find tools to help you help others
* Get digital media
* Find your provider type
Back to menu
FIND YOUR PROVIDER TYPE
* Physicians & other health professionals
* Facilities
* Health & drug plans
* Employers & unions
Close this menu
*
* Medicare
* Coverage
* Prescription drug coverage
* Low-Income Subsidy (LIS)
LIMITED INCOME AND RESOURCES
PAGES IN THIS SECTION
* * * Prescription drug coverage
* * Part D Claims Data
* Part D Information for Pharmaceutical Manufacturers
* Part D Program Analysis
* Part D Regulations
* Pharmaceutical Manufacturer Patient Assistance Program Information
* Prescription Drug Plan Resources
* Part D Prescriber Enrollment Information
* Formulary guidance
* Low-Income Subsidy (LIS) Notices
* Out-of-pocket Costs
* Employer & union retiree drug subsidy
* Low-Income Subsidy (LIS)
Limited Income and Resources
WHAT'S THE LOW INCOME SUBSIDY (LIS)?
The Low Income Subsidy (LIS) helps people with Medicare pay for prescription
drugs, and lowers the costs of Medicare prescription drug coverage.
HOW CAN I HELP PEOPLE GET THE LIS?
We work with our partners to find and enroll people who may qualify for the LIS,
and we encourage local organizations to tell people in their communities about
it.
WHO MIGHT NEED HELP WITH THEIR LIS?
There are 4 groups of people who already have the LIS, but may need some help to
keep it or to understand that their LIS is changing. We send them targeted
notices on colored paper when there are changes to their LIS.
1. People who won’t automatically be eligible for the LIS
Each September, we mail a notice (CMS Publication No. 11198) (PDF) on gray paper
to people who’ll no longer automatically get the LIS. This notice is a LIS
application, and it includes a postage-paid pre-addressed envelope. These people
may still qualify for the LIS, but they will need to send in a new application.
The gray notice:
* Tells the person why they no longer automatically qualify for the LIS
* Encourages them to fill out and send in a LIS application
2. People who’ll have a change to their LIS co-payment
In early October, we mail a notice (CMS Publication No. 11199) (PDF) on orange
paper to people who’ll qualify for extra help, but will have a change to their
co-payment.
3. People who’ll be reassigned to a new plan
In early November, we mail a notice on blue paper (CMS Publication No. 11208)
(PDF) to people who qualify for the LIS, but will be reassigned to a new
prescription drug plan starting on January 1st.
We automatically reassign people who:
* Qualify for the full (100%) premium subsidy
* Are in a prescription drug plan that’s raising the premium above the
low-income premium amount
* Were enrolled in their current plan by CMS
We’ll also automatically reassign people who qualify for the LIS, if their
prescription drug plan leaves the Medicare Program.
4. People who chose their plan
In early November, we mail a notice (CMS Publication No. 11267) (PDF) to people:
* Whose premium cost will increase, but we’re not automatically reassigning to
a new plan, because they chose and joined their plan.
* Who qualify for the full (100%) premium subsidy, but are in a plan that’s
increasing their premium amount so it’s more than the standard low-income
premium subsidy amount.
This notice tells people about the increase in their drug plan premium costs,
and explains their options to stay in their plan or join another plan (including
plans they won’t pay a monthly premium for).
WHERE CAN I LEARN MORE ABOUT THE LIS?
* LIS notices and mailings.
* Consumer mailings (PDF)
* Information partners can use on: Reassignment (PDF)
* Medicare Limited Income NET Program
* LIS Resource Limits Memo (PDF)
* Fact Sheet – What to Do if You No Longer Automatically Qualify for Extra Help
(opens in a new window)
* Apply online for extra help and get additional information at Social Security
Administration (opens in a new window)
Page Last Modified:
09/10/2024 06:04 PM
Help with File Formats and Plug-Ins
GET EMAIL UPDATES
Sign up to get the latest information about your choice of CMS topics. You can
decide how often to receive updates.
Email
Sign up - opens in a new window Sign up
CMS & HHS Websites CMS & HHS Websites
* Medicare.gov
* Medicaid.gov
* InsureKidsNow.gov
* HealthCare.gov
* HHS.gov
* HHS.gov/Open
About CMS About CMS
* About Us
* Careers
* Newsroom
* Blog
Tools Tools
* Acronyms
* Archive
* Contacts
* Glossary
Helpful Links Helpful Links
* Privacy Policy
* Plain Language
* Privacy Settings Privacy Settings
* Nondiscrimination & Accessibility
* Developer Information
* Vulnerability Disclosure Policy
USA Government Sites USA Government Sites
* Freedom of Information Act
* No Fear Act
* Inspector General
* USA.gov
CONNECT WITH CMS
* Linkedin link
* Youtube link
* Facebook link
* Twitter link
* RSS Feed link
A federal government website managed and paid for by the U.S. Centers for
Medicare & Medicaid Services.
7500 Security Boulevard, Baltimore, MD 21244