Effective April 1, 2005, Medicaid recipients enrolled in a Medicaid Managed Care plan will be responsible for the same pharmacy co-payments as other Medicaid recipients. According to General Information System (GIS) Message 05 MA/006, a recipient notification letter will be mailed the last week of February, 2005 to Public Assistance (PA) and Medical Assistance (MA)-Only recipients statewide.
Although the change in the law itself is not a hearable issue, if a client feels s/he is wrongfully being required to make co-payments, s/he may request a fair hearing. Reasons that exempt a recipient from having to pay the co-payment are listed in the letter.
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