Nevada
The Board of Pharmacy’s next hybrid meeting is on June 3 and 4 in Las Vegas.
For more information, contact NACDS’ Mary Staples at 817-442-1155.
North Carolina
Medicaid announced the NC Medicaid Pharmacy Benefits Administrator (PBA) system has successfully gone live. As you begin submitting POS claims, please note that the new PBA system strictly adheres to NCPDP requirements. Pharmacies are strongly encouraged to refer to the Payer Specification when submitting POS claims to ensure claims are billed correctly in alignment with NCPDP standards. If you have questions or need assistance, please contact the Prime Pharmacy Call Center at 844‑620‑6116.
For more information, contact NACDS’ Leigh Knotts at 803-243-7207.
Ohio
The results of the primary election held May 5 are as follows:
- Republican Vivek Ramaswamy won the Gubernatorial by over 85% of the vote. He, along with his Lt. Gov running mate Rob McColley will face Democrat Amy Acton in the general election. Acton and her running mate, David Pepper, ran unopposed.
- Republican Keith Faber, current State Auditor and former President of the Ohio Senate, ran unopposed for Attorney General and will face Democratic nominee John Kulewicz in November.
- General Assembly incumbents all won their elections.
For more information, contact NACDS’ Jill McCormack at 717-592-8977.
Oklahoma
NACDS posted an NACDS RxIMPACT action alert, urging Oklahomans to contact their State Representative and State Senator to override Gov. Kevin Stitt's (R) veto of critical PBM reform legislation, SB 2074, which sets a minimum reimbursement rate based on NADAC and requires a dispensing fee equal to or greater than the Medicaid fee-for-service rate.
Also in Oklahoma, NACDS sent Gov. Kevin Stitt (R) a letter urging him to sign SB 401, a Food is Medicine bill that grants the Oklahoma Health Care Authority the authority to accept, receive and expend federal funds, grants, cooperative agreements or demonstration model funding awarded by CMS. This model will provide nutrition support services to eligible women who have a diet-related condition or a disease that may contribute to a high-risk pregnancy or birth complications. Nutrition services will include medically tailored home-delivered meals and may also include nutritional counseling, although recipients are not required to undergo counseling to receive the meals.
Also in Oklahoma, NACDS sent a letter to Gov. Stitt, urging him to sign three additional PBM reform bills: SB 1500, SB 1447 and SB 2007. Collectively, these measures aim to address persistent issues related to PBM marketplace manipulation and ensure Oklahomans continue to have reliable, convenient access to their trusted community pharmacies.
Finally in Oklahoma, NACDS sent a letter to Gov. Stitt, urging him to sign SB 1565, legislation that will strengthen maternal healthcare and nutrition services for Medicaid beneficiaries through participation in the federal Transforming Maternal Health Model.
For more information, contact NACDS’ Mary Staples at 817-442-1155.
Oregon
The Prescription Drug Affordability Board (PDAB) posted its draft agenda for the May 20 meeting. Check the PDAB website for updates prior to the meeting. Register in advance.
For more information, contact NACDS’ Sandra Guckian at 703-774-4801.
Pennsylvania
The Department of Human Services (DHS)issued a bulletin regarding the implementation of the Qualitrac® provider portal for prior authorization and program exception submissions.
For more information, contact NACDS’ Jill McCormack at 717-592-8977.
South Carolina
The Department of Health and Human Services (SCDHHS) issued Medicaid Bulletin (MB #26-013), reminding all enrolled Medicaid providers of the importance of safeguarding provider identifiers, login credentials and all information associated with Medicaid enrollment. Unauthorized access to provider information can result in fraudulent billing, inappropriate account changes and potential program integrity concerns.
For more information, contact NACDS’ Leigh Knotts at 803-243-7207.
Tennessee
Please review TennCare’s recent updates to the Preferred Drug List (PDL), including changes to prior authorization (PA) criteria and quality limits that were effective May 1. These updates may affect medication coverage, utilization management and prescribing processes across several therapeutic areas for patients with TennCare coverage.
For more information, contact NACDS’ Leigh Knotts at 803-243-7207.
California
The Department of Health Care Services posted the following on the Medi-Cal Rx Web Portal.
For more information, contact NACDS’ Sandra Guckian at 703-774-4801.