16 Del. Admin. Code § 30000-30100

Current through Register Vol. 28, No. 7, January 1, 2025
Section 30000-30100 - Definitions

Revised July 2018

Contractor: The agent who is under contract with the State to administer the DPAP.

Department: The Department of Health and Social Services or DHSS

Division: The Division of Medicaid & Medical Assistance or DMMA

Low Income Subsidy (LIS): Assistance provided by the Centers for Medicare and Medicaid Services to pay Medicare Part D costs for individuals with limited income and resources. The LIS will provide payment assistance with the monthly premium, the yearly deductible, and the coverage gap. The LIS will also provide payment assistance for co-payments after an individual with income below 135% of the Federal Poverty Level reaches a total of $5100 in drug expenses.

Medicare Part D: The Medicare Prescription Drug Program established by the Medicare Prescription Drug, Improvement and Modernization Act of 2003.

Medicare Part D costs: Monthly premiums, yearly deductible, and drug costs that fall into the Part D coverage gap.

Prescription drugs: Drugs that are self-administered or administered by a lay person that have been approved as safe and effective by the Federal Food and Drug Administration or are otherwise legally marketed in the United States. Mediations administered only by a clinically trained person are not covered under this program.

16 Del. Admin. Code § 30000-30100

22 DE Reg. 595 (1/1/2019) (Final)