About Michael Silber

This author has not yet filled in any details.
So far Michael Silber has created 2118 blog entries.

New England

The New England States Consortium Systems Organization (NESCSO) contracted with Myers and Stauffer LC to perform a pharmacy cost of dispensing survey for the Medicaid programs of five of the NESCSO member states. State agencies included within the cost of dispensing survey effort include the following: Connecticut, Maine, New Hampshire, Rhode Island and Vermont. Cost of dispensing surveys were anticipated to be distributed on December 4 to pharmacies that participate in the Medicaid programs in the above referenced NESCSO member states. The due date for the cost of dispensing survey is January 15, 2025. All providers are encouraged to participate. The cost of dispensing survey tools and instructional letters will be posted here by December 4. Myers & Stauffer will host two webinars to answer any questions – December 12 at 3:00 pm and December 17 at 8:30 am. To participate in these webinars, you are required to RSVP to 1-800-374-6858 or disp_survey@mslc.com.

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

2024-12-13T10:26:59-05:00December 13, 2024|Uncategorized|

New Hampshire

On December 18, the Board of Pharmacy will be holding its next regular meeting.  The meeting agenda includes proposed rules updates to pharmacy rules 100, 200 and 300.  Meetings are held at 9:00 am at 7 Eagle Square, Concord NH 03301.  Zoom options are available.

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

2024-12-13T10:25:47-05:00December 13, 2024|New Hampshire|

New Jersey

On December 9, the Assembly Committee on Financial Institutions and Insurance held a second hearing on A4953, Patient and Provider Protection Act, legislation that includes PBM reforms.  NACDS submitted a letter to the Committee Chair Roy Freiman (D) who also sponsored the bill.  The bill was amended and recommitted within the committee.

Also in New Jersey, on December 9, the Senate Committee on Health, Human Services, and Senior Citizens held a hearing on A1899 and S1981, companion bills that would expand vaccine and pharmacy technician authority.  The bills were approved by the committee and expect action on the Senate floor on December 19.  NACDS will continue to advocate for expedited passage of this bill.

Finally in New Jersey, on December 11, the Board of Pharmacy held its regular scheduled meeting.  The next meeting is scheduled for January 22, 2025.

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

2024-12-13T10:25:22-05:00December 13, 2024|New Jersey|

Oregon

The Division of Financial Regulation recently announced  permanent rulemaking repealing 836-053-0025, the regulation of the insulin co-pay amount for health benefit plans for the state, as a result of SB 1508 (2024) effective January 1, 2025.

Also in Oregon, the Division of Financial Regulation recently announced permanent rulemaking amending 836-052-1000, establishing and updating the list of prosthetic and orthotic devices; prohibiting internal or separate limits or caps on prosthetic and orthotic devices, other than the lifetime policy maximum, when permitted by law; and defining when coverage for prosthetic and orthotic device is provided through a managed care organization effective January 1, 2025.

Also in Oregon, the Prescription Drug Affordability Board (PDAB) posted an agenda and meeting materials for its December 18 meeting. You must register in advance to participate.

Finally in Oregon, the Oregon Prescription Drug Affordability Board has posted to the website the UPL report for the Oregon Legislature pursuant to ORS 646A.685.

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

2024-12-13T10:24:40-05:00December 13, 2024|Oregon|

South Carolina

The Department of Health and Human Services (SCDHHS) will operate on an updated schedule for Healthy Connections Medicaid claims submission and payments to accommodate the December 2024 and January 2025 holidays. Due to observance of the Christmas holiday, December 19 at 5:00 pm is the deadline to submit claims for payment date December 27. Electronic remittance advice will be available December 24. Payments will be dated December 27, as usual. Due to observance of the New Year’s holiday, December 27 at 5:00 pm is the deadline to submit claims for payment date January 3. Electronic remittance advice will be available December 31. Payments will be dated January 3rd, as usual. The schedule will return to the normal payment cycle on January 3, 2025.

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

2024-12-13T10:24:10-05:00December 13, 2024|South Carolina|

Tennessee

TennCare released a document summarizing the temporary changes in counties impacted by Hurricane Helene, aligning with Gov. Bill Lee’s (R) Executive Order No. 105. These changes aim to provide relief to victims of severe weather and flooding and will remain in effect until December 25, 2024.

Also in Tennessee, all pharmacies participating with TennCare and OptumRx are encouraged to contact their provider liaison for any processing issues or questions.

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

2024-12-13T10:23:14-05:00December 13, 2024|Tennessee|

Alabama

Pharmacist registrations with Board of Pharmacy expire December 31, 2024. The Board of Pharmacy is accepting pharmacist license renewals online only. As a reminder, the Board transitioned to a new database last month. The new system and renewal process look different, and the changes will require individuals to create a new account to renew licenses. Pharmacies and facilities will not need to create a new account. Instead, each pharmacy will be linked to the supervising pharmacist, and each facility will be linked to the designated representative. For information, watch the tutorial videos on the ALBOP YouTube channel.

Also in Alabama, effective January 1, 2025, the Alabama Medicaid Agency’s Durable Medical Equipment (DME) Program will cover E2298, PWR SEAT ELEVATION SYS (Power Seat Elevation System), for adults 21 years of age and older. Prior authorization (PA) will be required. E2298 will continue to be covered for children under 21 years of age with a PA. The limit will be one (1) per two (2) calendar years for both adults and children. Policy questions concerning this provider notice should be directed to the DME Program at (334) 242-5050.

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

2024-11-14T10:50:57-05:00November 14, 2024|Alabama|

Arizona

This week, state legislators met to elect new caucus leadership as follows:

  • House Republicans:
    • House Speaker Steve Montenegro (R-Goodyear)
    • House Majority Leader Michael Carbone (R-Buckeye)
    • House Majority Whip Julie Willoughby (R-Chandler)
  • House Democrats:
    • Minority Leader Oscar De los Santos (D-Laveen)
    • Minority Assistant Leader Nancy Gutierrez (D-Tucson)
    • Minority Co-Whip Quantá Crews (D-Phoenix)
    • Minority Co-Whip Stacey Travers (D-Phoenix)
  • Senate Republicans:
    • President Warren Petersen (R-Gilbert)
    • Majority Leader Janae Shamp (R-Surprise)
    • Majority Whip Frank Carroll (R-Sun City West)
    • Majority Whip Frank Carroll (R-Sun City West)
  • Senate Democrats:
    • Minority Leader Priya Sundareshan (D-Tucson)
    • Assistant Minority Leader Flavio Bravo (D-Phoenix)
    • Minority Whip Rosanna Gabaldón (D-Green Valley)

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

2024-11-14T10:49:25-05:00November 14, 2024|Arizona|
Go to Top