Amount Paid by State Department to Applicants

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Sec. 4. (a) The state department shall determine the maximum amount the state department will pay each eligible post-organ transplant program applicant based on the following criteria:

(1) Available money.

(2) Covered immunosuppressive drugs.

(3) The terms of any contract between the state department and the patient's health care provider.

(4) The reimbursement rate for a post-organ transplant drug may not be greater than the Medicaid reimbursement rate for the drug, minus a copayment by the recipient.

(b) The state health commissioner may restrict or categorize payments for post-organ transplant drugs to meet budgetary limitations.

As added by P.L.27-1999, SEC.2.


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