A. The Department may enter into contracts with prescription drug plan sponsors who have been approved by the Centers for Medicare and Medicaid Services to offer Medicare Part D plans in the State.
B. A prescription drug plan sponsor that enters into a contract with the Department shall agree to perform its obligations in a manner that complies with:
(1) Medicare Part D and any federal regulations adopted to implement Medicare Part D;
(2) The Program;
(3) The terms and conditions of the contract; and
(4) Guidance from the Centers for Medicare and Medicaid Services.
C. A contract entered into with the Department shall include provisions that require the prescription drug plan sponsor to:
(1) Coordinate with the Program in identifying member enrollees;
(2) Accept the premium subsidy on behalf of member enrollees;
(3) Apply the premium subsidy to the member enrollee's total premium costs;
(4) Separately bill member enrollees for any premium owed in excess of the premium subsidy paid by the Program;
(5) Account for the subsidies received from the Program;
(6) Communicate in writing with member enrollees, including notifying member enrollees of their enrollment status;
(7) Share enrollment data and information with the Department;
(8) Report data and enrollment information as required by the Department;
(9) Reconcile Program and member payments with enrollment data; and
(10) Transmit information to appropriate third-parties, including the Administrator and the Centers for Medicare and Medicaid Services.