Citations Affected: IC 12-15-6-3 .
Synopsis: Medicaid drug copayments. Requires the office of Medicaid
policy and planning to pay a pharmacist the amount of the maximum
copayment allowable under federal law for a drug dispensed to a
Medicaid recipient who does not make a required copayment.
Effective: July 1, 2002.
December 7, 2001, read first time and referred to Committee on Health and Provider
A BILL FOR AN ACT to amend the Indiana Code concerning
IS AMENDED TO READ AS
FOLLOWS [EFFECTIVE JULY 1, 2002]: Sec. 3. (a) A copayment
shall be made by the recipient of Medicaid upon receipt of assistance.
If a recipient of Medicaid does not make the copayment, the office may
not require the provider to collect the copayment. However, a provider
may not voluntarily waive the copayment by the recipient under this
(b) The office may adopt rules under IC 4-22-2 to prescribe that the copayment amount is not deducted from the reimbursement to the provider for services provided by the provider if a recipient of Medicaid does not make the copayment.
(c) If a Medicaid recipient does not make a required copayment for a prescribed drug, the office shall pay the pharmacist who dispenses the drug to the recipient the amount of the maximum copayment allowable under federal statute or regulation for that drug. A payment under this subsection is in addition to any dispensing fee paid to the pharmacist for dispensing the drug.