205.5623 Department's powers in providing program benefits.
165 words·~1 min read·
/ky/chapter-205/205-5623·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
(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.