Erica Joyner – Page 37 – In The States

Florida

Effective October 1, 2021, fee-for-service (FFS) pharmacy claims must identify prescribers by their National Provider Identifier (NPI) and the prescribers must be actively enrolled with Florida Medicaid or the claims will be denied at the point of sale. Prescribers must be enrolled with Florida Medicaid in accordance with Title 42, Code of Federal Regulations, Section 455.410(b). This requirement does not pertain to pharmacists, state-authorized pharmacy interns, and qualified pharmacy technicians who administer pediatric and COVID-19 immunizations under the Public Readiness and Emergency Preparedness (PREP) Act. Pharmacy claims must continue to identify the administering pharmacist by Florida pharmacist license number (i.e., PSXXXXXXX), submitted as the prescriber ID in the National Council for Prescription Drug Programs (NCPDP) field 411-DB for the following vaccines and immunizations covered under the PREP Act, in accordance with or identified by the Advisor Committee on Immunization Practices (ACIP CDC vaccines). More information can be found here.

For more information, contact NACDS’ Leigh Knotts at 803-243-7207.

Erica Joyner2021-09-17T09:26:53-04:00September 17, 2021|Florida|

Illinois

The Illinois Department of Healthcare and Family Services has posted a new Provider Notice regarding Prior Approval Requests for Synagis Continued through September 30, 2021. You may view the new Notice at the following link:

Also in Illinois, the Department of Healthcare and Family Services has posted an Updated Preferred Drug List Illinois Medicaid October 1, 2021. You may view the Updated List at the following link.

For more information, contact NACDS’ Leigh Knotts at 803-243-7207.

Erica Joyner2021-09-17T09:25:01-04:00September 17, 2021|Illinois|

Louisiana

The Department of Health (LDH) hired Patrick Gillies to serve as the new Medicaid Director.

For more information, contact NACDS’ Mary Staples at 817-442-1155.

Erica Joyner2021-09-17T09:23:56-04:00September 17, 2021|Louisiana|

Maine

The Maine Board of Pharmacy released the minutes from its August 5 meeting. The next zoom Board meeting will be October 7 at 8:30 am.

For more information, please contact NACDS’ Ben Pearlman at 617-515-2603.

Erica Joyner2021-09-17T09:22:47-04:00September 17, 2021|Maine|

Massachusetts:

MassHealth recently released its pharmacy providers newsletter. This edition of MassHealth Pharmacy Facts addresses Durable Medical Equipment and Inhalers.

For more information, please contact NACDS’ Ben Pearlman at 617-515-2603.

Erica Joyner2021-09-17T09:21:46-04:00September 17, 2021|Massachusetts|

Montana

The Board of Pharmacy has scheduled the following meetings:

Screening Panel on September 23 (Executive Session-Closed)
Adjudication Panel on September 24 (Prior to full Board)
Full Board on September 24 (Open Via Teleconference Only) – Note: Full agenda will be posted on the Board Events website within 10 days of the meeting date with changes permitted up to three days prior to the meeting date.

For more information, contact NACDS’ Sandra Guckian at 703-774-4801.

Erica Joyner2021-09-17T09:20:36-04:00September 17, 2021|Montana|

Nebraska

The Board of Pharmacy met in-person earlier this week on September 13 and distributed the draft meeting minutes from its two prior meetings held on July 26 and August 16. NACDS will share the draft meeting minutes from the September meeting once available.

Also in Nebraska, the Department of Health and Human Services (DHHS) issued several updates:

The next COVID-19 Provider call will take place on September 22 at noon. Information to access the call has been posted on the DHHS website.
Provider Bulletin 21-19 includes information related to the following:
- Full approval of the Pfizer COVID-19 vaccine for individuals ages 16 and older, which does not change the reimbursement rate;
- Coverage of an additional dose of some COVID-19 vaccines for immunocompromised individuals; and
- A change in the number of additional fees that can be reimbursed for at-home vaccine administration.
Provider Bulletin 21-18 includes a reminder that effective October 1, Heritage Health Adult will move from a two-tier benefit system to a single benefit package, including comprehensive physical and behavioral healthcare as well as vision, dental and over-the-counter drug coverage. A series of one-hour educational webinars have been scheduled for providers regarding these changes. See bulletin for dates and times.

For more information, contact NACDS’ Sandra Guckian at 703-774-4801.

Erica Joyner2021-09-17T09:19:34-04:00September 17, 2021|Nebraska|

North Carolina

The Board of Pharmacy issued the following information concerning a change to the federal PREP Act authorizing pharmacists “to order and administer,” and qualified pharmacy technicians and interns “to administer” select COVID-19 therapeutics to patient populations authorized by the FDA including monoclonal antibody combinations.

For more information, contact NACDS’ Leigh Knotts at 803-243-7207.

Erica Joyner2021-09-17T09:18:23-04:00September 17, 2021|North Carolina|

North Dakota

The Board of Pharmacy distributed its September 2021 newsletter. Highlights include the following. Please see newsletter for details and additional information.

DEA issued a direct final rule amending its regulations that either the purchaser or the supplier may enter a supplier’s DEA registration number on the single-sheet DEA Form 222 effective October 18.
Drug Supply Chain Security Act Updates
SB 2221 – Practice Changes – previously published in the June 2021 newsletter with edits

For more information, contact NACDS’ Sandra Guckian at 703-774-4801.

Erica Joyner2021-09-17T09:17:06-04:00September 17, 2021|North Dakota|

About Erica Joyner