Medicare Part D Clawback Charges to Increase in CY 2013
Issue Brief 12-37
October 22, 2012
The
Medicare Modernization Act (MMA, P.L.
108-173) that established the Medicare Part D prescription drug program
requires states to make cost-sharing payments to the federal government,
commonly known as the “clawback.” As required by MMA, the Centers for Medicare
& Medicaid Services (CMS) must notify states by October 15 of their
per-beneficiary monthly clawback charges for the following year. The recent CMS
release indicates that the per-beneficiary monthly clawback charge to states
will increase by 0.91% in calendar year (CY) 2013.