PURPOSE: This rule establishes the definitions that apply to 19 CSR 90-1.010 to 19 CSR 90-1.090 (eligible seniors) for implementation and administration of the Missouri Senior Rx Program.

1. (1) Applicant—A person who applies to participate in the program, either personally or through an authorized agent.
2. (2) Application—The form completed and submitted to the commission by an applicant which is used by the commission to determine the applicant’s eligibility to participate in the Missouri Senior Rx Program. Also, the form completed and submitted to the commission by a claimant which is used by the commission to redetermine the claimant’s eligibility to participate in the program.
3. (3) Claim—In the case of a claimant, presentation to a participating pharmacy of a valid senior prescription card in order to receive prescription drugs.
4. (4) Claimant—A resident of this state who meets the eligibility conditions set forth in sections 208.550 to 208.571, RSMo and the regulations promulgated thereunder.
5. (5) Coinsurance—The percentage which is required under the program to be paid by claimant for each prescription.
6. (6) Deductible—The dollar amount which is required under the program to be paid annually by the claimant before participation in the program.
7. (7) Enrollment fee—The dollar amount which is required to be paid for enrollment in the program. Enrollment fee will only be required after application approval.
8. (8) Generic drug—Generic drug as defined in section 208.550(7), RSMo.

AUTHORITY: section 208.553.3(5), RSMo Supp. 2001.* Emergency rule filed Jan. 16, 2002, effective March 1, 2002, expired Aug. 27, 2002. Original rule filed Jan. 16, 2002, effective Aug. 30, 2002.

*Original authority: 208.553, RSMo 2001.