64.02 Public-notice requirements for Medicaid101

Schedule of Medicaid premiums and cost-sharing requirements. A public schedule will be available describing current Medicaid premiums and cost-sharing requirements containing the following information: The group or groups of individuals who are subject to premiums and cost-sharing requirements and the current amounts; Mechanisms for making payments for required premiums and cost-sharing charges; The consequences for an individual who does not pay a premium or cost-sharing charge; A list of hospitals charging cost sharing for non-emergency use of the emergency department; and A list of preferred drugs or a mechanism to access such a list, including the state’s health-benefits website. (b) Schedule availability. The public schedule will be available to the following in a manner that ensures that affected individuals and providers are likely to have access to the notice: Enrollees, at the time of their enrollment and reenrollment after a redetermination of eligibility, and, when premiums, cost-sharing charges or aggregate limits are revised, notice to enrollees will be in accordance with § 5.01(d); Applicants, at the time of application; All participating providers; and The general public. (c) [Reserved] 64.03 [Reserved] (01/15/2017, GCR 16-100)