; and (bb) notify the PDP sponsor of the prescription drug plan in which such an individual is enrolled of such identification. . 2007. Automatic escalation to external review under a Medicare part D drug management program for at-risk beneficiaries (a) In general Section 1860D–4(c)(5) of the Social Security Act ( 42 U.S.C. 1395ww–10(c)(5) ) is amended— (1) in subparagraph (B), in each of clauses (ii)(III) and (iii)(IV), by striking and the option of an automatic escalation to external review and inserting , including notice that if on reconsideration a PDP sponsor affirms its denial, in whole or in part, the case shall be automatically forwarded to the independent, outside entity contracted with the Secretary for review and resolution