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UNOFFICIAL 1722-32 (1) Fails to meet the eligibility requirements set forth in section 17-1722-119. (2) The participant voluntarily terminates participation in the program; (3) The participant failed to recertify; (4) The participant failed to cooperate with the quality control reviewer; (5) Death of the participating individual; or (6) There are insufficient funds in the state pharmacy assistance program special fund. (7) Death of the participating individual; or (8) There is insufficient funds in the program due to lack of revenues received from rebates paid by pharmaceutical manufacturers. (b) An individual shall be given a ten day advance notice of termination. The notice must specify the effective date of termination, the reason for termination, and procedures to appeal the termination. (c) If an appeal is requested prior to the effective date of termination, the termination shall be stayed pending the outcome of the appeal, provided the individual otherwise remains eligible. [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)
§17-1722-126 Administration of the program. (a) The department may contract with a third party or parties to administer any component of the program, including outreach, eligibility, enrollment, claims, administration, rebate negotiations and recovery, and redistribution, in order to coordinate the prescription drug benefits of the state pharmacy assistance program and the federal Medicare Part D Prescription Drug Benefit Program. (b) Any third party that contracts with the department to administer any component of the program shall be established either at no cost to the State or on a contingency-fee basis and with no up-front costs to the State.