Utah Administrative Code
Topic - Health
Title R414 - Integrated Healthcare
Rule R414-309 - Medicare Drug Benefit Low-Income Subsidy Determination
Section R414-309-2 - General Provisions

Universal Citation: UT Admin Code R 414-309-2

Current through Bulletin 2024-06, March 15, 2024

(1) The Utah Department of Health shall make Medicare Part D Subsidy applications from the Social Security Administration available at State Medical Assistance Offices to individuals who want to apply for the Medicare drug benefit low-income subsidies, and may help individuals complete and send the form to the Social Security Administration.

(2) The Department shall apply the eligibility criteria for the Medicare drug benefit low-income subsidy programs as defined in 42 CFR 423.904 in making any determinations that the state is required to make and shall notify the applicant of that decision.

(3) If the Department determines that an applicant is not eligible for a Medicare drug benefit low- income subsidy, the applicant may appeal the Department's decision pursuant to the provisions of R410-14.

(4) As required by 42 CFR 423.904, the Department exchanges information on Medicare Part D subsidy applicants and eligible individuals with the Centers for Medicare and Medicaid Services and with the Social Security Administration.

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