§ 20-77-1405 — Waiver application

Any waiver application submitted by the Department of Human Services shall include provisions for the department to: (1) (A) Establish an income eligibility standard not to exceed: (i) Eighty percent (80%) of the federal poverty guideline for the period July 1, 2001, through June 30, 2002; (ii) Ninety percent (90%) of the federal poverty guideline for the period July 1, 2002, through June 30, 2003; and (iii) One hundred percent (100%) of the federal poverty guideline after June 30, 2003. (B) Postpone or abolish any increases to the income eligibility standards if program costs exceed projections or if adequate funding is unavailable; (2) Require qualified residents to pay an annual enrollment fee of twenty-five dollars ($25.00) during the biennium beginning July 1, 2001; (3) Have the authority to amend the qualified resident enrollment fee by rule beginning July 1, 2003, provided that qualified resident enrollment fee increases may not exceed fifteen percent (15%) during any state fiscal year; (4) Establish copayments of ten dollars ($10.00) for generic drugs and twenty dollars ($20.00) for name-brand drugs; (5) Determine eligibility for limited prescription drug benefits under the waiver; (6) Limit prescription drug benefits under the waiver to two (2) prescriptions per person per month; and (7) Provide limited prescription drug benefits only in accordance with an approved waiver from the Centers for Medicare & Medicaid Services.

Legislative History

Acts 2001, No. 1658, § 1.