Missouri § 208.784 - Coordination of prescription drug coverage with Medicare Part D — enrollment in program — Medicaid dual eligibles, effect of.

§ 208.784. Coordination of prescription drug coverage with Medicare Part D — enrollment in program — Medicaid dual eligibles, effect of.

1.  The program shall coordinate prescription drug coverage with the Medicare Part D prescription drug benefit, including related supplies as determined by the department, who:

(1)  Is a resident of the state of Missouri and is either:

(a)  Sixty-five years of age or older; or

(b)  Is disabled and receiving a Social Security benefit and is enrolled in the Medicare program;

(2)  Is enrolled in a Medicare Part D drug plan;

(3)  Is not a member of a retirement plan that is receiving a benefit under the Medicare Prescription Drug, Improvement and Modernization Act of 2003, P.L. 108-173.

2.  The department shall give initial enrollment priority to the Medicaid dual eligible population.  A second enrollment priority will be afforded to Medicare-eligible applicants with annual household incomes at or below one hundred fifty percent of the federal poverty guidelines who also meet the asset test.  Medicaid dual eligible persons may be automatically enrolled into the program, as long as they may opt out of the program if they so choose.  The department shall determine the procedures for automatic enrollment in, and election out of, the Missouri Rx plan.  Applicants meeting the eligibility requirements set forth in this section may begin enrolling in the program as determined by the department.

3.  An individual or married couple who meet the eligibility requirements in subsection 1 of this section and who are not Medicaid dual eligible persons may apply for enrollment in the program by submitting an application to the department, or the department's designee, that attests to the age, residence, household income, and liquid assets of the individual or couple.

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(L. 2005 S.B. 539, A.L. 2006 S.B. 1117)

Terminates 8-28-29; see § 208.798

---- end of effective  28 Aug 2006 ----

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