§ 246 — Regulations

§ 246. Regulations. Program regulations shall:\n 1. Provide for a process of determining and redetermining eligibility\nfor participation in this program including provisions for submission of\nproof of income, age, and residency and information on existing complete\nor partial coverage of prescription drug expenses under a third party\nassistance or insurance plan;\n 2. Provide for a fair hearing process pursuant to an agreement with\nthe department of health for individuals and participating provider\npharmacies to appeal determinations or actions of the contractors;\n 3. Establish procedures for the state to recover the value of benefits\nor payments made under this title, if any, that were based on\napplications or claims submitted in violation of any provision of this\ntitle; and\n 4. Establish procedures to ensure that all information obtained on\npersons pursuant to paragraph (a) of subdivision two of section two\nhundred forty-three of this title shall remain confidential and shall\nnot be disclosed to persons or agencies other than those entitled to\nsuch information because such disclosure is necessary for the proper\nadministration of the program established pursuant to this title.\n