205.5621 Definitions for KRS 205.5621 to 205.5625.

340 words·~2 min read·/ky/chapter-205/205-5621

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

As used in KRS 205.5621 to 205.5625:

(1)"Asset test" means the asset limits as defined by the Medicare Prescription Drug,

Improvement, and Modernization Act of 2003, Pub. L. No. 108-173;

(2)"Commissioner" means the commissioner of the Department for Medicaid Services;

(3)"Contractor" means the person, partnership, or corporate entity that has an approved

contract with the department to administer the Kentucky Pharmaceutical Assistance

Program;

(4)"Department" means the Department for Medicaid Services;

(5)"Enrollee" means a resident of this state who meets the conditions relating to

eligibility for the Kentucky Pharmaceutical Assistance Program and whose

application for enrollment has been approved by the department;

(6)"Federal poverty guidelines" means the federal poverty guidelines updated annually

in the Federal Register by the United States Department of Health and Human

Services under the authority of 42 U.S.C. sec. 9902(2);

(7)"Liquid assets" means assets used in the eligibility determination process and

defined by the MMA;

(8)"Medicaid dual eligible" or "dual eligible" means a person who is eligible for

Medicare and Medicaid as defined by the MMA;

(9)"Medicare Modernization Act" or "MMA" means the Medicare Prescription Drug,

Improvement, and Modernization Act of 2003, Pub. L. No. 108-173;

(10)"Medicare Part D prescription drug benefit" means the prescription benefit provided

under the MMA, as it may vary from one

(1)PDP to another;

(11)"Participating pharmacy" means a pharmacy that elects to participate as a

pharmaceutical provider and enters into a participating network agreement with the

department;

(12)"Prescription drug plan" or "PDP" means a nongovernmental drug plan under

contract with the Centers for Medicare and Medicaid Services to provide

prescription benefits under the MMA;

(13)"Program" means the Kentucky Pharmaceutical Assistance Program established in

KRS 205.5621 to 205.5625; and

(14)"Resident" means a person who has lived within this state for a period of at least

ninety

(90)consecutive days and who meets the conditions as set forth in KRS

205.5625. A person shall be considered a resident until the person establishes a

permanent residence outside of the state.