{"data":{"id":"us/42-cfr-423.906","jurisdiction":"us","citation":"42 CFR 423.906","heading":"General payment provisions.","body":"(a) Regular Federal matching. Regular Federal matching applies to the eligibility determination and notification activities specified in § 423.904(a) and (b).\n(b) Medicare as primary payer. Medicare is the primary payer for covered drugs for Part D eligible individuals. Medical assistance is not available to full-benefit dual eligible individuals, including those not enrolled in a Part D plan, for—\n(1) Part D drugs; or\n(2) Any cost-sharing obligations under Part D relating to Part D drugs.\n(3) The effective date of paragraphs (b)(1) and (b)(2) of this section is January 1, 2006.\n(c) Noncovered drugs. States may elect to provide coverage for outpatient drugs other than Part D drugs in the same manner as provided for non-full benefit dual eligible individuals or through an arrangement with a prescription drug plan or a MA-PD plan.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER B—MEDICARE PROGRAM","PART 423—VOLUNTARY MEDICARE PRESCRIPTION DRUG BENEFIT","Subpart S—Special Rules for States-Eligibility Determinations for Subsidies and General Payment Provisions"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"0d39caf2ba3a3b988c4a7b0d69d22af824fc3527813fb612b09a547eadd5827f","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-423.904","next":"us/42-cfr-423.907"},"notice":"GroundRules: Original legal text. Not legal advice."}