---
kind: "section"
citation: "42 C.F.R. § 423.906"
title: "42"
number: "423.906"
heading: "General payment provisions."
url: "https://uscodex.org/cfr/42/423.906"
---

# §423.906. General payment provisions.

- (a) **Regular Federal matching.** Regular Federal matching applies to the eligibility determination and notification activities specified in § [423.904(a)](/cfr/42/423.904.md?p=a) and [(b)](/cfr/42/423.904.md?p=b).
- (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—
  - (1) Part D drugs; or
  - (2) **Any cost-sharing obligations under Part D relating to Part D drugs.**
  - (3) **The effective date of paragraphs (b)(1) and (b)(2) of this section is January 1, 2006.**
- (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.

## Notes

### Amendments

[70 FR 4525, Jan. 28, 2005, as amended at 73 FR 20509, Apr. 15, 2008]

### Authority

Authority: 42 U.S.C. 1302, 1306, 1395w-101 through 1395w-152, and 1395hh.

### Source

Source: 70 FR 4525, Jan. 28, 2005, unless otherwise noted.

### Amendments

[70 FR 4525, Jan. 28, 2005, as amended at 73 FR 20509, Apr. 15, 2008]