205.5624 Payment of benefits -- Limitations -- Qualification for coverage.
167 words·~1 min read·
/ky/chapter-205/205-5624A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
(1)Benefits provided under the program shall be limited to the amount of
appropriations.
(2)The program shall be the payor of last resort. The program shall cover costs for
participants that are not covered by the Medicare Part D program.
(3)Except for dual eligibles during the transition period, during which they are being
moved from Medicaid to a Medicare Part D program, applicants who are qualified
for coverage of payments for prescription drugs under a public assistance program
shall be ineligible for the program for so long as they are so qualified.
(4)Applicants who are qualified for full coverage of payments for prescription drugs
under another plan of assistance or insurance shall be ineligible to receive benefits
from the program for so long as they are eligible to receive pharmacy benefits from
the other plan.
(5)Applicants who are qualified for partial payments for prescription drugs under
another insurance plan shall be eligible for the program but may receive reduced
assistance from the program.