This week, Ohio Medicaid announced the payment schedule for the Supplemental Managed Care Dispensing Fee and that the fee has been increased due to the compressed schedule of payments. The payment schedule is:
Payment 5 – Between November 1 – 15, 2022 (July – Sept 2022 claims)
Payment 6 – Between February 1 – 15, 2023 (Oct – Dec 2022 claims)
Payment 7 – Between May 1 – 15, 2023 (Jan – March 2023 claims)
Payment 8 – No later than August 15, 2023 (April – June 2023 claims)
Note that the November payment will be issued by the Medicaid MCOs (Managed Care Organizations) and, as in the past, will be included in your weekly claim payments. However, the balance of the payments will come from Gainwell, the SPBM (Single Pharmacy Benefit Manager), as a separate payment. The FAQ document includes more detail.
Also in Ohio, Medicaid has prepared a toolkit for providers to prepare for the expiration of the federal Public Health Emergency (PHE). The materials are focused on the “unwinding” patient eligibility that will result at the end of the PHE.
For more information, contact NACDS’ Jill McCormack at 717-592-8977.