405 Ind. Admin. Code 8-10-1

Current through May 29, 2024

Section 405 IAC 8-10-1 - General provisions for contracting for assistance with Medicare prescription drug plan monthly premium and other Medicare Part D plan costs

Authority: IC 12-10-16-5

Affected: IC 12-10-16

Sec. 1.

(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.

405 IAC 8-10-1

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

Readopted filed 4/9/2018, 9:12 a.m.: 20180509-IR-405180110RFA