# COMAR Title 10 — Maryland Department of Health

## Subtitle 09 — Medical Care Programs

### Chapter 60 — Senior Prescription Drug Assistance Program

#### Regulation .07 Contracts with Prescription Drug Plan Sponsors.

*COMAR 10.09.60.07*

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.