42 C.F.R. § 423.906 General payment provisions.
Title 42 - Public Health
(a) Regular Federal matching. Regular Federal matching applies to the eligibility determination and notification activities specified in §423.904(a) and (b). (b) Medicare as primary payer. Medicare is the primary payer for covered drugs for Part D eligible individuals. Medical assistance is not available to full-benefit dual eligible individuals, including those not enrolled in a Part D plan, for— (1) Covered Part D drugs; or (2) Any cost-sharing obligations under Part D relating to covered Part D drugs. (3) The effective date of paragraphs (b)(1) and (b)(2) of this section is January 1, 2006. (c) Non-covered drugs. States may elect to provide coverage for outpatient drugs other than covered Part D drugs in the same manner as provided for non-full benefit dual eligible individuals or through an arrangement with a prescription drug plan or a MA-PD plan.
Title 42: Public Health
PART 423—VOLUNTARY MEDICARE PRESCRIPTION DRUG BENEFIT
Subpart S—Special Rules for States-Eligibility Determinations for Subsidies and General Payment Provisions
§ 423.906 General payment provisions.
