Current through Register Vol. 23, December 6, 2024
Rule 37.81.301 - BIG SKY RX SCOPE AND PURPOSE(1) On January 1, 2006, Medicare Prescription Drug Plans (PDPs) became available to people with Medicare. This is a voluntary federal program created by the Medicare Prescription Drug Improvement and Modernization Act of 2003 (MMA) 42 USC 1302, 1395w-101 through 1395w-152, and 1395 hh. It is referred to as "Medicare Part D" in these rules and implemented in 42 CFR part 423.(2) An individual entitled to benefits under Medicare Part A or enrolled in Medicare Part B is eligible to enroll in a Medicare Part D PDP. An individual enrolled in a PDP is responsible for the premium and receives prescription drug coverage. There is also a federal premium subsidy called "Social Security Extra Help" for some individuals that assists in paying copayments, deductibles, and premiums.(3) The purpose of Montana's Big Sky Rx Program is to pay a portion or all of the cost of the PDP premium for eligible Montana residents.(4) The individual enrolled in Part D must choose and enroll in a federally approved PDP.(5) The program does not provide assistance with selecting or enrolling in a PDP.
Mont. Admin. r. 37.81.301
NEW, 2006 MAR p. 336, Eff. 2/10/06; AMD, 2008 MAR p. 954, Eff. 5/9/08.