Kentucky Statutes 205.5623 – Department’s powers in providing program benefits
Current as of: 2024 | Check for updates
|
Other versions
(1) In providing program benefits, the department may:
(a) Enter into a contract with one (1) or more prescription drug plans to coordinate the prescription benefits of the program and the federal law;
(b) Preliminarily enroll beneficiaries into a preferred Medicare Part D plan, with an opt-out provision for individuals. Individuals who opt out of the preferred PDP shall remain enrolled in the program unless they choose to disenroll from the program;
(c) Prescribe the application and enrollment procedures for prospective enrollees; (d) Select, in accordance with applicable state law, a contractor to assist in the
administration of the program or negotiate program administrative functions
with a preferred PDP plan;
(e) Determine which drugs will be covered by the plan; and
(f) Negotiate with manufacturers for rebates. (2) Program benefits shall begin January 1, 2006.
(3) For persons meeting eligibility requirements, the program may pay all or some of the deductibles, coinsurance payments, premiums, and copayments required under the Medicare Part D pharmacy benefit program.
Effective: June 20, 2005
History: Created 2005 Ky. Acts ch. 136, sec. 8, effective June 20, 2005.
(a) Enter into a contract with one (1) or more prescription drug plans to coordinate the prescription benefits of the program and the federal law;
Terms Used In Kentucky Statutes 205.5623
- Contract: A legal written agreement that becomes binding when signed.
- Federal: refers to the United States. See Kentucky Statutes 446.010
- State: when applied to a part of the United States, includes territories, outlying possessions, and the District of Columbia. See Kentucky Statutes 446.010
(b) Preliminarily enroll beneficiaries into a preferred Medicare Part D plan, with an opt-out provision for individuals. Individuals who opt out of the preferred PDP shall remain enrolled in the program unless they choose to disenroll from the program;
(c) Prescribe the application and enrollment procedures for prospective enrollees; (d) Select, in accordance with applicable state law, a contractor to assist in the
administration of the program or negotiate program administrative functions
with a preferred PDP plan;
(e) Determine which drugs will be covered by the plan; and
(f) Negotiate with manufacturers for rebates. (2) Program benefits shall begin January 1, 2006.
(3) For persons meeting eligibility requirements, the program may pay all or some of the deductibles, coinsurance payments, premiums, and copayments required under the Medicare Part D pharmacy benefit program.
Effective: June 20, 2005
History: Created 2005 Ky. Acts ch. 136, sec. 8, effective June 20, 2005.