Previous Rules

461-155-0688    Effective 01/01/11
Prescription Drug Co-pay Coverage

In the OSIPM program for a client who is receiving SSI:

  1. 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.

  2. 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.

  3. If the payment exceeds $30 per month, it must be approved by Seniors and People with Disabilities Division central office staff.

Stat. Auth.: 411.060, 411.706
Stats. Implemented: 411.060, 411.083, 411.704, 411.706

461-155-0688    Temporary Effective 10/01/10 through 12/31/10
Prescription Drug Co-pay Coverage

In the OSIPM program for a client who is receiving SSI:

  1. 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.

  2. 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.

  3. If the payment exceeds $30 per month, it must be approved by Seniors and People with Disabilities Division central office staff.

Stat. Auth.: 411.060, 411.083, 411.706
Stats. Implemented: 411.060, 411.083, 411.704, 411.706

461-155-0688    Effective 01/01/10
Prescription Drug Co-pay Coverage

In the OSIPM program for a client who is receiving SSI as his or her only income:

  1. 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.

  2. 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.

  3. If the payment exceeds $30 per month, it must be approved by Seniors and People with Disabilities Division central office staff.

Stat. Auth.: 411.060, 411.706
Stats. Implemented: 411.060, 411.704, 411.706