State Pharmaceutical Assistance Programs

To provide Federal funding for grants to States with State Pharmaceutical Assistance Programs (SPAPs) for the purpose of educating SPAP participants about Medicare Part D coverage.

These funds may also be used to provide technical assistance, phone support, and counseling in order to help SPAP
participants eligible for the Medicare Part D benefit select and enroll in Part D plans.

Agency - Department of Health and Human Services

The Department of Health and Human Services is the Federal government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves.

Website Address

Selected Recipients for this Program

RecipientAmount Start DateEnd Date
Ny St Dept Of Health $ 17,060,708   2005-10-152006-09-30
Wy St Department Of Health $ 50,782   2005-10-152006-09-30
Maine Dept Of Human Services, Div Of Fina $ 2,087,553   2005-10-152006-09-30
Ct St Dept Of Social Services, Off Of Fin $ 2,555,981   2005-10-152006-09-30
Nj St Department Of Health And Senior Ser $ 11,366,594   2005-10-152006-09-30
Illinois Department On Aging $ 2,802,994   2005-10-152006-09-30
Ma St Department Of Elder Affairs $ 4,050,214   2005-10-152006-09-30
Mn St Department Of Human Services $ 371,976   2005-10-152006-09-30
Mo St Department Of Health & Senior Servi $ 965,647   2005-10-152006-09-30
Maryland Health Insurance Plan $ 1,744,194   2005-10-152006-09-30

Program Accomplishments

This program was developed under the Medicare Modernization Act and initiated by Public Law 108-173. Authority to provide funding was for 2 years (FY 2005 and FY 2006).

Uses and Use Restrictions

Grants will be awarded to States in accordance with the requirements of 1860D-23 of the Act and 45 CFR Part 92 and in accordance with their application as approved by the Centers for Medicare and Medicaid Services (CMS).

Eligibility Requirements

Applicant Eligibility

States with approved applications for transitional grants for their State Pharmaceutical Assistance Programs, under Section 1860D-23 (d) of the Social Security Act.

Excludes Commonwealths and Territories.

Beneficiary Eligibility

States with approved applications for transitional grants for their State Pharmaceutical Assistance Programs, under Section 1860D-23 (d) of the Social Security Act. Excludes Commonwealths and Territories.


Federal funds must go to a designated State Agency that will meet State requirements.

Aplication and Award Process

Preapplication Coordination

This program is excluded from coverage under E.O.


Application Procedures

Please contact program office for application deadline date. States with SPAPs that qualify for the transitional grant will be notified of application approval and the amount of approval no later a month following the application deadline.

Award Procedures

Following approval of the grant application by CMS, an award will be issued to the State in the amount as determined by the number of Medicare beneficiaries enrolled in the program as of the application deadline.


Please contact the program office for application deadline.


Medicare Prescription Drug, Improvement and Modernization Act of 2003, Section 1860D-23(d) of the Social Security Act as established by Public Law 108-173.

Range of Approval/Disapproval Time

Three months.





Assistance Considerations

Formula and Matching Requirements

This program has no matching requirements. The amount for each State is determined based on the number of Medicare beneficiaries enrolled in the program by the deadline date.

Length and Time Phasing of Assistance

Project Period: 10/1/04 through 9/30/06. CMS will issue grant awards to the approved States annually at the beginning of FY 05 and FY 06.

Post Assistance Requirements


Final financial reports are due to CMS in accordance with the timeframes established by CMS after the end of the project period.


Payment transactions may be audited by the Secretary or his/her agent.


Financial records, supporting documents, statistical records, and all other records pertinent to the project shall be retained for at least 3 years or until resolution of any audit questions. Property records must be retained in accordance with CMS Grants Policy Statement requirements.

Financial Information

Account Identification



FY 07 est not available; FY 08 est not available; and FY 09 est not available.

Range and Average of Financial Assistance


Regulations, Guidelines, and Literature

Regulations governing this program were authorized under Section 1860D-23 of the Social Security Act, as enacted under Public Law 108-173, were published on December 15, 2003.

Information Contacts

Regional or Local Office


Headquarters Office

Deborah Abshire, Center for Medicaid and State Operations, Division of Financial Management, 7500 Security Boulevard, Baltimore, MD 21224. Telephone: (410) 786-9291. E-mail:

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