Medicare Part D: The Medicare prescription drug benefit program. We call this program “Part D” for short. Medicare Part D covers outpatient prescription drugs, vaccines, and some supplies not covered by Medicare Part A or Medicare Part B or Medical Assistance. Our plan includes Medicare Part D.Medicare Part A: The Medicare program that covers most medically necessary hospital, skilled nursing facility, home health, and hospice care.
Medicare Part B: The Medicare program that covers services (such as lab tests, surgeries, and doctor visits) and supplies (such as wheelchairs and walkers) that are medically necessary to treat a disease or condition. Medicare Part B also covers many preventive and screening services.Medical Assistance: This is the name of Minnesota’s Medicaid program. Medical Assistance is run by the state and is paid for by the state and the federal government. It helps people with limited incomes and resources pay for long-term services and supports and medical costs.
It covers extra services and some drugs not covered by Medicare. Medicaid programs vary from state to state, but most health care costs are covered if you qualify for both Medicare and Medicaid.

Alert: Medicare Fraud Scheme Involving Phishing Fax Request

South Country Health Alliance wants you to be on the lookout for a new fraud scheme to obtain patient records through fax requests.

What’s Happening
Scammers are impersonating CMS, sending faxed requests for patient medical records, claiming a Medicare audit, and demanding a response within a 72-hour deadline. These fraudulent faxes often include CMS or National Archives and Records Administration (NARA) headers to appear authentic.

Why It’s Suspicious
Medical record reviews requested by CMS or their contractors will identify specific Medicare beneficiaries, time periods, and encounter or prescription drug event records involved. These requests also provide ample time (typically 30-45 days) for a response.

How to Report
Report fraud, waste, and abuse to the SCHA Compliance Department by calling (507) 431-6068 or sending an email to compliance@mnscha.org. You can also report it anonymously through our Report it hotline by calling 1-877-778-5463 or online at www.reportit.net. Username: SCHA, Password: Owatonna.

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