Many people do not realize that there is help available when it comes to prescription drug assistance programs. The Medicare Prescription Drug, Improvement, and Modernization Act (MMA) works with Centers for Medicare and Medicaid Services (CMS) in coordination with state patient assistance programs for prescription drugs, employers, insurers, and all applicable payers of prescription drug benefits. This USA medical prescription assistance program was designed in an attempt to ensure that the prescription drug benefits that are provided to Medicare recipients enrolled in Medicare Part D are optimized. Not only is the goal to achieve this optimization, but they also want to assure the integrity of the Medicare program.
What is the Prescription Assistance Program?
CMS has introduced data exchanges with Prescription Medication Programs like AIDS Drug Assistance Programs (ADAPs), State Pharmaceutical Assistance Programs (SPAPs), and Patient Assistance Programs (PAPs). The reason that these data exchanges were introduced by the CMS was because of the fact that they wanted to coordinate Medicare Part D prescription drug assistance with other coverages that Medicare beneficiaries may be currently receiving. This gives CMS the ability to easily verify the accuracy of claims payments as well as the calculation of the Medicare Part D True Out of Pocket (TrOOP) expenses that Medicare recipients accumulate.
There are rules for this Medicare senior prescription drug assistance program. Medicare Secondary Payer (MSP) rules are important in regard to the MMA. If you are interested in learning more, you will be able to find that information online or through your local agency. Not many people are aware of the available government prescription assistance programs that are available, but that is why it is important to research. When contacting your local agency, you can ask about any available drug assistance programs for seniors as well. It is important to note that these prescription assistance programs for seniors should not be confused as just patient prescription assistance drug programs. It is a misconception that this senior prescription drug assistance program will help in providing prescriptions to those who do not need it. This is a program designed to help health systems financially by reducing the amount of reimbursement rates for pharmaceutical products. This act was created during a time when a lot of pharmaceutical products increased in price so that is why it was established.