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UNOFFICIAL 1722-30

§17-1722-119 Eligibility requirements. An individual shall meet the following requirements to participate in the state pharmacy assistance program: (1) Is a resident of Hawaii; (2) Receives Medicare Part D Prescription Drug Benefits; (3) Has countable income at or below one

hundred fifty per cent of the federal

poverty level for a household of applicable

size; and

(4) Meets the asset test in accordance with the

low income subsidy program addressed in

subchapter 11; (5) Is not receiving MMA prescription drug benefits through a retirement or union plan; (6) Does not have public assistance prescription coverage other than Medicaid, Medicare and Hawaii Rx Plus; (7) Is not enrolled in a private sector or government sponsored plan or any insurance providing payments for prescription drugs; and (8) Is enrolled in a benchmark prescription drug plan established by CMS. [Eff 12/29/05; am 02/18/08 ] (Auth: SLH 2005, Act 209; SLH 2006, Act 264) (Imp: SLH 2005, Act 209; SLH 2006, Act 264)

§17-1722-120 Benefits. (a) For an individual eligible for the state pharmacy assistance program, the program may pay all, or some of, the required co- payments or co-insurance actually paid only for drug claims defined as covered under the federal Medicare Part D Prescription Drug Benefit Program. (b) The state pharmacy assistance program is the payor of last resort. [Eff 12/29/05; am 02/18/08 ](Auth: SLH 2005, Act 209) (Imp: SLH 2005, Act 209

§17-1722-121 Eligibility reviews. (a) Eligibility reviews shall be conducted at intervals determined necessary by the department.