The South Carolina Department of Health and Human Services (SCDHHS) plans to transition its pharmacy reimbursement methodology to include an average acquisition cost (AAC) component. Per SCDHHS, the goal of this transition is to ensure that pharmacy reimbursement rates are responsive to drug pricing fluctuations in the South Carolina market. To support the development and maintenance of AAC rates, SCDHHS has contracted with Mercer Government Health Consulting to establish and maintain the AAC program. Starting September 2020, pharmacy providers will receive a survey requesting copies of pharmacy invoice records to be sent to SCDHHS. Per SCDHHS, this survey will allow the agency to measure the drug acquisition costs incurred by Healthy Connections Medicaid pharmacy providers. A pharmacy stakeholder information session to discuss the AAC survey process and project timeline will be held via webinar Tuesday, August 25, 2020, at 3 p.m. (EST). Providers and stakeholders can register for the webinar here.
For more information, contact NACDS’ Leigh Knotts at 803-243-7207.