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So far Michael Silber has created 1944 blog entries.

Tennessee

Please see the webinar invitation for TennCare Pharmacies, during which OptumRx will unveil the findings from the Pharmacy TennCare Cost of Dispensing Survey. During this event, OptumRx will also disclose the updated professional fees applicable to all pharmacies within the TennCare Pharmacy Network. Please do not hesitate to reach out to your Provider Liaison Pharmacist with questions or concerns at TNRxEducation@optum.com.  

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

2023-09-22T14:27:04-04:00September 22, 2023|Tennessee|

Utah

The Department of Health & Human Services released the results of its recent survey of the average cost of dispensing a Medicaid prescription in the state. The mean cost of dispensing, weighted by Medicaid prescription volume, was $11.57 per prescription for all pharmacies including specialty pharmacies. For non-specialty pharmacies only, the mean cost of dispensing, weighted by Medicaid prescription volume, was $11.24 per prescription.

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

2023-09-22T14:26:18-04:00September 22, 2023|Utah|

Vermont

The Vermont Board of Pharmacy posted the agenda for the September 27th meeting.  The agenda includes drafts for state pharmacists prescribing protocols for emergency contraception and ACIP-recommended vaccines which are included in the agenda posting.    

On September 18th, the Department of Vermont Health Access (DVHA) made changes to the Pharmacy Manual regarding automatic refills for Medicaid members. Vermont Medicaid does not pay for prescriptions that are not medically necessary or for individuals who are no longer eligible for Vermont Medicaid. Providers may not use automatic refill systems to deliver or provide prescriptions to members. Members and providers may not agree to waive the requirements of this section. Providers may contact members to initiate a refill, but members must choose to fill each prescription, and providers must determine that the member remains eligible for Vermont Medicaid before providers deliver or dispense the prescription. Providers may not assume that, because a member’s prescription authorizes refills, the member has implicitly requested that the provider refill the prescription. For questions, please contact the Change Healthcare Pharmacy Help Desk at 1-844-679-5362. Vermont providers can also send inquiries via email to PBA_VTHelpdesk@changehealthcare.com. 

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

2023-09-22T14:25:49-04:00September 22, 2023|Vermont|

Alabama

The Medicaid Agency has published a PSA video to encourage Medicaid recipients to complete their eligibility renewal forms when their notices come in the mail. Medicaid providers and partners are encouraged to share this video in public locations and on websites.  

Medicaid has taken extraordinary efforts to notify recipients when it is time to renew. 
Renewal notices are sent through regular mail, and the Agency is contacting recipients by 
email, text message and phone when it is time to renew (if they have provided contact 
information to the Agency). Several outreach resources are available for Medicaid partners to 
make it simple to share the key messaging. 
 
Please share the following key messaging from Medicaid: 
 
* Public Service Announcement – August 29, 2023 
* How to Update Contact Information with the Agency (Medicaid Recipients) 
* Video: Keep Your Coverage 
* Video (Spanish): Keep Your Coverage 
 
Medicaid regularly updates information for recipients on the COVID-19 Information for Providers webpage. Medicaid recipients who have questions should call Medicaid’s Recipient Call Center at (800) 362-1504 or visit a Medicaid office in their area. Providers may contact the Provider Assistance Center at (800) 688-7989.  

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

2023-09-08T11:03:07-04:00September 8, 2023|Alabama|

Arizona

Last week, the Governor’s Regulatory Review Council (GRRC) held a Study Session that included pharmacy technician rules to permanently authorize pharmacy technician to administer vaccines under the delegation and supervision of a pharmacist. This week, at its September 6 meeting, the GRRC approved the rules. The rules take immediate effect.

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

2023-09-08T11:02:38-04:00September 8, 2023|Arizona|

Arkansas

Gov. Sarah Huckabee Sanders (R) may call a special session in September to address property tax relief. 

Also in Arkansas, the Governor appointed two new members to serve a six-year term on the Board of Pharmacy. Clint Boone from Little Rock replaces Rebecca Mitchell and Beth Ann Davenport from Bentonville will succeed Amy Fore.  

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

2023-09-08T11:02:13-04:00September 8, 2023|Arkansas|

California

The Department of Health Care Services (DHCS) posted the following bulletins, notices, and alerts on the Medi-Cal Rx Web Portal. Please note the Updated FAQs (Frequently Asked Questions) for the Pharmacy Retroactive Claim Adjustments.  

Also in California, Gov. Gavin Newsom (D) declared a state of emergency in Del Norte and Siskiyou Counties due to fires. During a declared state of emergency, the Board of Pharmacy reminds licensees of information and state laws intended to help pharmacists provide prescription drugs – including controlled substances – for residents displaced because of emergency evacuation.  

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

2023-09-08T11:01:36-04:00September 8, 2023|California|

Florida

Gov. Ron DeSantis (R) signed Executive Order 23-171, declaring a state of emergency in preparation for Tropical Storm/Hurricane Idalia. The Agency for Health Care Administration (AHCA) has contacted the Medicaid Managed Care Plans, to ensure they are making the necessary preparations pre- and post-storm, including allowing for early prescription refills. Fee-for-service recipients are also eligible for early refills. The Department of Health has also issued Emergency Order 23-002, which allows for mobile pharmacies and an extension of the PDMP (Prescription Drug Monitoring Program) reporting requirements. 

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

2023-09-08T11:00:40-04:00September 8, 2023|Florida|

Georgia

Gov. Brian Kemp (R) declared a State of Emergency ahead of the impact of Hurricane Idalia. The Board of Pharmacy has issued a statement seeking to remind pharmacy licensees in this time of emergency that the Board’s Policy #14 provides for the refill of certain medications for up to 30 days for persons in the areas covered by the State of Emergency. 

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

2023-09-08T11:00:11-04:00September 8, 2023|Georgia|

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