The Department of Health and Human Services published INFORMATIONAL LETTER NO. 2428-MC-FFS with April 2023 Iowa Medicaid Pharmacy Program Changes related to the following:
- New Drug Prior Authorization (PA) Criteria
- Changes to Existing PA Criteria
- Removal of PA Criteria
- Point-of-Sale Billing Updates
- DUR [Drug Utilization Review] Update
Also in Iowa, effective April 1, the Department of Health, and Human Services (Iowa HHS) will no longer require positive COVID-19 tests to be reported to the state Public Health Division. Since the development and widespread availability of rapid in-home tests – which are not required to be reported – the case and positive test counts in the state are no longer as meaningful as they once were. Iowa has no mandatory reporting order for any other respiratory viral illnesses such as influenza, RSV, and rhinovirus.
For more information, contact NACDS’ Sandra Guckian at 703-774-4801.