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CDF Policy Update





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Copay Assistance

Founded in 2003, Chronic Disease Fund® has set the standard for copayment organizations. A 501(c)(3) organization with two approved OIG Advisory Opinions for our assistance programs, we have simplified the application process so that patients can be conditionally approved in just minutes. This minimizes staffing needs and reduces overhead.

Eligibility & Same-Day Approval

In order to be eligible for our financial assistance program, patients must complete and sign an Application and HIPAA Authorization form, as well as provide proof of income. We will review documentation for approval. However, because we are a charity, we cannot guarantee that funding will be available. If we are unable to provide financial assistance, we will refer patients to other organizations that may be able to assist them. Once approved, patients are provided enough funding to cover their treatment for the balance of the calendar year.

All enrollment forms are processed the same day they are received. For ease of access, patients can enroll on the Patients & Pros website.

Programs

All Chronic Disease Fund® programs follow specific rule sets in order to ensure compliance with guidelines. Patient must have medical insurance coverage, been prescribed a medication that is part of the CDF Formulary and meet our program income criteria. 91 cents of every dollar goes directly to funding patients’ out-of-pocket costs. Criteria for payment of any dispense is set by Chronic Disease Fund®, for example:

  • Number of allowed dispenses
  • How often they dispense
  • Total funding allowed per dispense

Reporting is Aggregate (includes no PHI) in compliance with OIG guidelines.

Direct-to-Patient Assistance (DTPA)

CDF measures its effectiveness in the delivery of copay assistance by Direct-To-Patient Assistance (DTPA). This measures how many cents of each dollar we receive that goes directly to funding out-of-pocket costs on a calendar year basis. Currently, CDF maintains a DTPA of 91% — the highest in the industry.






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