A Humana provider filling out paperwork.

Limited Income NET Information & Forms

This page gives you access to forms, manuals and the ability to review rejection codes.

Limited Income NET and Humana

Effective January 1, 2010, Humana will begin administering the Limited Income Newly Eligible Transition program for the Centers for Medicare & Medicaid Services (CMS). This program allows certain individuals with the Low Income Subsidy (LIS) to receive immediate need coverage at the point-of-sale if they are not already enrolled into a Part D plan. Additionally, CMS will temporarily enroll newly identified individuals with Medicare and Medicaid, (Dual-Eligibles) into the Limited Income NET contract (contract number X0001). This allows for a smoother transition as CMS autoenrolls them into standard Medicare prescription drug plans. Limited Income NET replaces the WellPoint Point-of-Sale Facilitated Enrollment (POS FE) process.

Limited Income NET Forms

LI NET Payer Sheet
A Document that explains in detail how to submit LI NET claims.
(0.2 MB) Download PDF
English
Four Steps for Pharmacists
View and Download the LI NET Program 4 Steps Document.
(0.2 MB) Download PDF
English

LI NET Resources

LI NET Question & Answers
A list of frequently asked questions regarding Limited Income NET.
(0.2 MB) Download PDF
English
LI NET Tip Sheet for Pharmacy Providers
A document that offers pharmacists additional guidance on using the Limited Income NET program.
(0.2 MB) Download PDF
English
Limited Income NET for People at the Pharmacy Counter
(145 KB) Download PDF
English
The Limited Income NET Program for People With Retroactive Medicaid & SSI Eligibility
(150 KB) Download PDF
English
Limited Income NET Brochure
A brochure of tips for pharmacy providers participating in the Limited Income Newly Eligible Transition (LI NET) Program.
(760 KB) Download PDF
English

The Limited Income NET Program Survey

Please fill out this survey designed to obtain feedback from your experience with and knowledge of the LI NET Program.