As a result of a bill signed into law this week by Gov. Andy Beshear, NACDS will have a direct voice in setting new reimbursement rates in Medicaid Managed Care. SB 50, sponsored by Sen. Max Wise, will provide significant financial relief to pharmacies by prohibiting the claw-back of reimbursement in Medicaid Managed Care. Additionally, the new law will require the Department of Medicaid Services, with the input of pharmacy, to set reimbursement rates in Managed Care. The intent of this provision is to move to cost-based reimbursement plus a professional dispensing fee. Notably, the law establishes a Technical Advisory Committee on Pharmacy on which NACDS has the power to appoint an advisor. The Committee report is due by Dec. 1, 2020. NACDS supported the efforts of the Kentucky Retail Federation, the Kentucky Pharmacists Association and members to pass this law. NACDS lent its official support to provisions of the law that align with our reimbursement campaign.
For more information, contact NACDS’ Jill McCormack at 717-592-8977.