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

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.