365-I - Prescription drug payments.
* § 365-i. Prescription drug payments. Payments for drugs which may not be dispensed without a prescription as required by section sixty-eight hundred ten of the education law and for which payment is authorized pursuant to paragraph (g) of subdivision two of section three hundred sixty-five-a of this title shall not be included in the capitation payment for services or supplies provided to medical assistance recipients by a health maintenance organization or other entity which is certified under article forty-four of the public health law or licensed pursuant to article forty-three of the insurance law or otherwise authorized by law to offer comprehensive health services plans to medical assistance recipients; provided, however, this section shall not prohibit the commissioner from undertaking a demonstration program that would permit the inclusion of payment for prescription drugs for Medicare/Medicaid dually eligible individuals in the capitation payment for services or supplies provided to medical assistance recipients by a health maintenance organization or other entity which is certified under article forty-four of the public health law or licensed pursuant to article forty-three of the insurance law or otherwise authorized by law to offer comprehensive health services plans to medical assistance recipients; provided however, that participation in such demonstration program for Medicare/Medicaid dually eligible individuals is voluntary and targeted primarily to the elderly who choose to remain in managed care. * NB Repealed March 31, 2012