Indiana Administrative Code (Last Updated: December 20, 2016) |
Title 405. OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES |
Article 405IAC8. INDIANA PRESCRIPTION DRUG PROGRAM MEDICARE PART D ASSISTANCE BENEFIT |
Rule 405IAC8-10. Contracts with Part D Plans |
Section 405IAC8-10-2. General provisions for contracting for assistance with Medicare prescription drug plan monthly premium only
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(a) The IPDP may contract with Medicare Part D plans to administer state Medicare Part D premium-only assistance. Medicare Part D plans offering coverage in the state of Indiana may contract with the IPDP to administer the state's Medicare Part D premium assistance programs.
(b) Medicare Part D plans contracting with the IPDP to administer the state's Medicare Part D premium assistance program may place a IPDP logo on joint IPDP and PDP member prescription drug cards, if approved by the program, and shall do the following:
(1) Only invoice the state for premium expenses up to the maximum dollar amount as determined by the state.
(2) Provide IPDP with data on IPDP members in order for the IPDP to understand the utilization underlying its costs and for reconciliation of incurred and paid amounts.
(3) 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 8-10-2; filed Mar 29, 2006, 2:19 p.m.: 29 IR 2536; filed Feb 28, 2007, 2:41 p.m.: 20070328-IR-405060153FRA; readopted filed Jun 18, 2012, 11:19 a.m.: 20120718-IR-405120201RFA)
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