Section 405IAC8-10-1. General provisions for contracting for assistance with Medicare prescription drug plan monthly premium and other Medicare Part D plan costs  


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  •    (a) The IPDP may contract with Medicare Part D plans to administer state assistance with Medicare prescription drug plan monthly premium.

      (b) Medicare Part D plans contracting with the IPDP to administer state Medicare Part D assistance may place an IPDP logo on joint IPDP and PDP member prescription drug cards, if approved by the program, and shall do the following:

    (1) Accept electronic auto-enrollment records in a standard defined by the IPDP.

    (2) Only invoice the state for premium expenses up to the state maximum limit.

    (3) Provide IPDP with claims data on IPDP members:

    (A) in order for the IPDP to understand the utilization underlying its costs; and

    (B) for reconciliation of incurred and paid amounts.

    (4) Comply with all federal regulations pertaining to Medicare Part D plans as outlined in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003.

    (Office of the Secretary of Family and Social Services; 405 IAC 8-10-1; filed Mar 29, 2006, 2:19 p.m.: 29 IR 2535; filed Feb 28, 2007, 2:41 p.m.: 20070328-IR-405060153FRA; readopted filed Jun 18, 2012, 11:19 a.m.: 20120718-IR-405120201RFA)