- (1) The Department of Health and Human Services shall make Medicare Part D Subsidy applications from the Social Security Administration available at state medical assistance offices to individuals who want to apply for the Medicare Part D drug benefit low-income subsidies, and may help individuals complete and send the form to the Social Security Administration.
- (2) The Department shall apply the eligibility criteria for the Medicare Part D drug benefit low-income subsidy programs as defined in 42 CFR 423.904 in making any determinations that the state is required to make and shall notify the applicant of that decision.
- (3) If the Department determines that an applicant is not eligible for a Medicare Part D drug benefit low-income subsidy, the applicant may appeal the Department's decision pursuant to the provisions of Rule R410-14.
- (4) As required by 42 CFR 423.904, the Department exchanges information on Medicare Part D subsidy applicants and eligible individuals with the Centers for Medicare and Medicaid Services and with the Social Security Administration.
KEY: Medicaid, eligibility
Date of Last Change: August 17, 2023
Notice of Continuation: January 9, 2025
Authorizing, and Implemented or Interpreted Law: 26B-3