461-155-0688 Effective 07/01/17
Prescription Drug Co-pay Coverage
In the OSIPM program for a client who is receiving SSI:
- The Department will provide a payment for all Medicare Part D or Veteran's Administration Health Care prescription co-pays if a client's co-pays exceed $10 per month.
- Payment for Medicare Part D co-pays is limited to the current Low-Income Subsidy (LIS) program amounts for a fully dual eligible individual under 100 percent of the Federal Poverty Limit.
- If the payment exceeds $30 per month, it must be approved by Aging and People with Disabilities central office staff.
Stat. Auth.: ORS 409.050, 411.060, 411.404, 411.706, 413.085, 414.685
Statutes/Other Implemented: ORS 409.010, 411.060, 411.083, 411.404, 411.704, 411.706, 413.085, 414.685