Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA): State Information

General Information
Medicare Dual Eligibles
Medicaid Low-Income Subsidy
Employer Subsidy Program
CMS Partner Center

General Information

Main CMS State Resource Page
MMA State Information, What's New
MMA Guide for State Legislators (Updated March 2005)(PDF 231KB) - This guide is for state legislatures to refer to as they implement MMA in their state.
CMS MMA Education Campaign Regional Contacts

Social Security Administration Materials

Social Security Administration's "Information for Organizations" Website-The Social Security Administration had created a website specifically for agencies and other organizations to assist in providing information to Medicare beneficiaries about the Extra Help available for persons applying for Medicare Prescription Drug coverage.

Medicare Dual Eligibles

A Strategy for Transitioning Dual Eligibles for Medicaid to Medicare Prescription Drug Coverage (44 page PDF document published May 2, 2005)
Phased-Down State Contribution (PDSC) Phased-down state contribution payment refers to the states' monthly payment made to the Federal government beginning in 2006 to defray a portion of the Medicare drug expenditures for full-benefit dual eligible individuals whose Medicaid drug coverage is assumed by Medicare Part D. Provides a table of annual phased-down percentages of state contributions to Medicare Part D drug benefit costs.
Social Security Administration Program Operations Manual for Low-Income Subsidy
Designed for Social Security Administration staff, this manual offers detailed information about various issues related to the extra help available through the new Medicare Prescription Drug Coverage.
Medicare Payment Advisory Commission (MEDpac) Databook (12 page PDF document)
Contains demographic, health acuity and expenditure data on the Medicare dual eligible population.

Medicaid and Low Income Subsidy

Guidance to States on Low Income Subsidy
State Medicaid Agency MMA Final Rule Fact Sheet
Social Security Administration Program Operations Manual for Low-Income Subsidy: Designed for Social Security Administration staff, this manual offers detailed information about various issues related to the extra help available through the new Medicare Prescription Drug Coverage.

State Data Submissions

Employer Subsidy Program

Overview of Retiree Drug Subsidy Option
CMS Retiree Drug Subsidy (RDS) Program
CMS website to act as a resource for employers sponsoring retiree prescription drug coverage that qualifies for federal subsidy payments.
Explaining Medicare Prescription Drug Coverage to People With Coverage Through an Employer or Union (2 page PDF document)
This information is intended to help benefits managers, plan administrators, and other employer/union partners and stakeholders explain how Medicare prescription drug coverage will work for their employees and retirees with Medicare.
CMS Employer Information on Retiree Drug Subsidy
GAO Report - Options for Employer-Based Prescription Drug Benefits Under the MMA (68 page PDF document)
Milliman and Robertson Case Study - Medicare Part D Strategies for Plan Sponsors (5 page PDF document)

CMS Partner Center

Main Page

Outreach Toolkit: Medicare Prescription Drug Coverage

Medicare & You 2006 Handbook

CMS On-Line Tools

Part D Drugs/Part D Excluded Drugs (Updated April 19th 2006)

Excluded Drug Coverage By State Medicaid Program

Effective January 1, 2006, Medicaid beneficiaries who are entitled to receive Medicare benefits under Part A or Part B will no longer receive their pharmacy benefits under their State Medicaid agency, except for excluded drugs. Each State has the option to cover these drugs for their Medicaid beneficiaries who also have Medicare coverage.

Find a Medicare Prescription Drug Plan

Formulary Finder for Prescription Drug Plans

This tool will allow you to find plans in your state that match your required drug list.

Note: NCSL provides links to other Web sites for information purposes only. Providing these links does not indicate NCSL's support or endorsement of the site.

Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA): State Information

General Information Medicare Dual Eligibles Medicaid Low-Income Subsidy Employer Subsidy Program CMS Partner Center

General Information
Medicare Dual Eligibles
Medicaid Low-Income Subsidy
Employer Subsidy Program
CMS Partner Center