RSA 161-K:1 · Definitions

161-K:1 Definitions. – In this chapter:

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I.

"Asset test" means the asset limits as defined by the Medicare Modernization Act.

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II.

"Commissioner" means the commissioner of the department of health and human services.

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III.

"Contractor" means the person, partnership, or corporate entity which has an approved contract with the department to administer the pharmaceutical assistance program as established under this chapter.

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IV.

"Department" means the department of health and human services.

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V.

"Enrollee" means a resident of this state who meets the conditions relating to eligibility for the New Hampshire pharmaceutical assistance program established under this chapter and whose application for enrollment has been approved by the department.

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VI.

"Federal poverty guidelines" means the federal poverty guidelines updated annually in the federal register by the United States Department of Health and Human Services under the authority of 42 U.S.C. section 9909(2).

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VII.

"Liquid assets" means assets used in the eligibility determination process as defined by the MMA.

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VIII.

"Medicaid dual eligible" or "dual eligible" means a person who is eligible for medicare and medicaid as defined by the Medicare Modernization Act.

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IX.

"Medicare Modernization Act" or "MMA" means the Medicare Prescription Drug, Improvement and Modernization Act of 2003.

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X.

"Medicare Part D prescription drug benefit" means the prescription benefit provided under the Medicare Modernization Act, as it may vary from one PDP to another.

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XI.

"Participating pharmacy" means a pharmacy that elects to participate as a pharmaceutical provider and enters into a participating network agreement with the department.

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XII.

"Prescription drug plan" or "PDP" means non-governmental drug plans under contract with the Centers for Medicare and Medicaid Services to provide prescription benefits under the Medicare Modernization Act.

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XIII.

"Program" means the New Hampshire pharmaceutical assistance program established in this chapter.

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XIV.

"Resident" means a person who has lived within this state for a period of at least 90 consecutive days and who meets the conditions as set forth in RSA 161-K:5. An individual is a resident until the individual establishes a permanent residence outside of the state. Source. 2005, 294:1, eff. July 26, 2005.

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