1. A. The Department may enter into contracts with prescription drug plan sponsors who have been approved by the Centers for Medicare and Medicaid Services to offer Medicare Part D plans in the State.

2. B. A prescription drug plan sponsor that enters into a contract with the Department shall agree to perform its obligations in a manner that complies with:

   1. (1) Medicare Part D and any federal regulations adopted to implement Medicare Part D;
   2. (2) The Program;
   3. (3) The terms and conditions of the contract; and
   4. (4) Guidance from the Centers for Medicare and Medicaid Services.

3. C. A contract entered into with the Department shall include provisions that require the prescription drug plan sponsor to:

   1. (1) Coordinate with the Program in identifying member enrollees;
   2. (2) Accept the premium subsidy on behalf of member enrollees;
   3. (3) Apply the premium subsidy to the member enrollee's total premium costs;
   4. (4) Separately bill member enrollees for any premium owed in excess of the premium subsidy paid by the Program;
   5. (5) Account for the subsidies received from the Program;
   6. (6) Communicate in writing with member enrollees, including notifying member enrollees of their enrollment status;
   7. (7) Share enrollment data and information with the Department;
   8. (8) Report data and enrollment information as required by the Department;
   9. (9) Reconcile Program and member payments with enrollment data; and
   10. (10) Transmit information to appropriate third-parties, including the Administrator and the Centers for Medicare and Medicaid Services.

Authority: Health-General Article, §15-1005(b)(1), Annotated Code of Maryland

Effective date:

Chapter recodified from 31.17.04 Senior Prescription Drug Assistance Program, to 10.09.60 Senior Prescription Drug Program effective July 1, 2016

Regulation .01B amended effective February 13, 2017 (44:3 Md. R. 188)

Regulation .02D amended effective February 13, 2017 (44:3 Md. R. 188)

Regulation .03 amended effective February 13, 2017 (44:3 Md. R. 188)

Regulation .04A, B amended effective February 13, 2017 (44:3 Md. R. 188)

Regulation .05B amended effective February 13, 2017 (44:3 Md. R. 188)

Regulation .06 amended effective February 13, 2017 (44:3 Md. R. 188)

Regulation .07 amended effective February 13, 2017 (44:3 Md. R. 188)

Regulation .08 amended effective February 13, 2017 (44:3 Md. R. 188)