Forum Session

Pharmacy Plus Waivers: Incrementalism at Work
November 19, 2002


Jennifer Ryan


This meeting provided a description of the federal and state initiative to provide Medicaid matching funds for prescription drug coverage for low-income senior citizens. The meeting explored the policy and budgetary implications of using Medicaid funds to provide prescription drug coverage to Medicare beneficiaries in the absence of a Medicare drug benefit. Speakers and participants also considered the implications of the budget neutrality arrangements in the waivers and the potential effect a “global cap” on Medicaid spending for the elderly could have on the program as a whole.


Dennis Smith, Director, Center for Medicaid and State Operations, Centers for Medicare and Medicaid Services; Debbie Chang, Deputy Secretary for Health Financing, Maryland Department of Health and Mental Hygiene; Peggy Bartels Handrich, Administrator, Division of Health Care Financing, Wisconsin Department of Health and Family Services; George Kitchens, Bureau Chief, Pharmacy Services, Florida Agency for Health Care Administration

Slides from the presentations by Ms. Chang, Ms. Handrich, and Mr. Kitchens are available for download.

Related Materials

See also Table: State Pharmacy Plus Demonstrations and Kaiser Family Foundation, "The Financing of Illinois' Prescription Drug Demonstration Project" (April 2002)

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