Montana Medicaid Part D Waiver
Prescription Drug Program
We are pleased to invite comment regarding a new Montana Medicaid Part D Prescription Drug Program Section 1115 Waiver demonstration initiative, “To provide citizens of Montana Medicaid drug pricing to increase affordable prescription drug coverage.”
Montana has submitted a draft waiver for review by the Centers for Medicare and Medicaid Services (CMS). The formal waiver request will be submitted after public comment is received.
The waiver will remove barriers to pharmacy coverage for Montanans by extending Medicaid eligibility for a Medicaid prescription drug benefit through a Section 1115 Waiver. The prescription drug benefit is to offer prescription drugs at a lower price, which is the Medicaid best price. Best price will be achieved in a two step process, first by offering Medicaid drug pricing at the pharmacy counter and then passing on associated Medicaid drug rebates, net of administrative costs.
All Montana residents will be eligible to enroll to obtain the waiver prescription drug benefit. Enrollment will be voluntary and enrollment will not be capped. The waiver population does not include otherwise enrolled Medicaid individuals, (people already enrolled in Medicaid through the State Plan or other Medicaid waivers.)
The Department of Department of Public Health and Human Services is committed to an extensive public process. We want you to have an opportunity to see the waiver amendment, understand the concepts and offer your comments. We encourage you to review the electronic copy of the amendment, named the Montana Medicaid Part D Prescription Drug Program Section 1115 Waiver, that is available below.
We will provide a public forum for comments on Montana Medicaid Part D Prescription Drug Program Section 1115 Waiver at the DPHHS Auditorium at 111 N Sanders, Helena, Montana from 4 p.m. to 6 p.m. on Thursday, December 2, 2010.
We invite your comments and questions by December 20, 2010. You may direct comments to:
Dan Peterson, Acute Services Bureau Chief, DPHHS
PO Box 4210
Helena, MT 59604-4210
All public documents related to the Montana Medicaid Part D Waiver Prescription Drug Program can be viewed below:
- Public Forum Agenda
- Montana Medicaid Part D Waiver Prescription Drug Program - Informal Waiver Submission
- Legal notice published in major daily Montana newspapers
- Montana Medicaid Part D Waiver Prescription Drug Program Formal Waiver Submission