Indiana

The Family and Social Services Administration’s (FFSA) Indiana Health Coverage Programs (IHCP) announced that they will continue reimbursing Health Indiana Plan (HIP) services at Medicare rates through the end of 2023. However, January 1, 2024, they will transition to a reimbursement model with consistent rates across all its programs. IHCP plans to equalize rates among the HIP, Hoosier Care Connect, Hoosier Healthwise and fee-for-service programs. 

Also in Indiana, IHCP will host an online seminar on September 28 to discuss provider notices published this month. 

Also in Indiana, IHCP announced the intent to implement Statewide Uniform Preferred Drug List (PDL) for all Medicaid pharmacy plans effective July 1, 2023. 

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

2022-09-23T13:29:50-04:00September 23, 2022|Indiana|

Kentucky

As a result of the adoption of an Emergency Administrative Regulation, beginning October 1, 2022, MedImpact will pay pharmacies a dispensing fee of $10.64 for each prescription of Suboxone every 7 days, as written by the prescriber. Prior to the adoption of the new regulation, Medicaid would only pay the fee every 23 days. This will be practically implemented as one dispensing fee and up to three additional professional service fees per rolling 28-day period. To receive the professional service fees, the pharmacist is required to take additional steps, including checking KASPER and providing patient counseling. Additional information as well as adjudication details are included in this Bulletin. 

Also in Kentucky, The Board of Pharmacy has issued the following proposed rules for public comment. Comments are due to the BOP on November 30 and contact details are on the last page of each rule. 

  • 201 KAR 030 – amends to the license transfer regulation to establish a non-resident pharmacist license for any pharmacist located outside of Kentucky serving Kentucky patients; requires the pharmacist to have a non-resident pharmacist license and participate in NABP’s Verify program; exempts the non-resident pharmacist from continuing education requirements in the state 
  • 201 KAR 2 460 -establishes an out-of-state pharmacy permit 
  • 201 KAR 2 360 – amends the Naloxone regulation allowing pharmacists to dispense to emergency departments under a protocol 

For more information, contact NACDS’ Jill McCormack at 717-592-8977.

2022-09-23T13:29:16-04:00September 23, 2022|Kentucky|

Louisiana

The Department of Health’s (LDH) deadline for Medicaid providers to submit an enrollment application is September 20, 2022. Claims will be denied beginning December 31, 2022, for providers who have not completed the enrollment process by September 30. Providers should visit www.lamedicaid.com to enroll. Additional guidance is located at www.ldh.la.gov/medicaidproviderenrollment. Providers can also email questions to LouisianaProvEnroll@gainwelltechnologies.com or call 833-641-2140.

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

2022-09-23T13:28:38-04:00September 23, 2022|Louisiana|

Michigan

On September 19th, the state authorized delegated pharmacists to have prescriptive authority to prescribe self-administered hormonal birth control— including oral contraceptives, the patch, and the ring. The action allows pharmacists to opt into this program but does not require participation. The change happened under an interpretive statement (see attached) issued by the state’s Licensing and Regulatory Affairs Department (LARA) under the direction of a previous executive directive 2022-05 Gov. Whitmer issued in May this year. Pharmacists must enter into a delegation agreement prior – a sample delegation agreement is available on LARA’s website and attached. The governor’s executive directive in May instructed state departments and agencies to identify and assess opportunities to increase protections for reproductive health care. Here is the link to the Governor’s press release.

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

2022-09-23T13:22:12-04:00September 23, 2022|Michigan|

Minnesota

The Minnesota Department of Human Services (DHS) has contracted with Myers and Stauffer to conduct the 2022 pharmacy cost of dispensing survey to evaluate the fee-for-service Medicaid pharmacy reimbursement methodology. A stakeholder virtual meeting will be held October 4, 2022, at 9 am CDT. If you wish to attend the meeting, please contact Jill McCormack for the log-in information.

For more information, contact NACDS’ Jill McCormack at 717-592-8977.

2022-09-23T13:09:10-04:00September 23, 2022|Minnesota|

Mississippi

Conduent pharmacy point-of-sale claims system to shut down on Thursday, Sept. 29, 2022, as part of Fiscal Agent transition – Mississippi Division of Medicaid. Contact Medicaid for any questions you may have. 

Also in Mississippi, the Mississippi Public Health Institute would like your input regarding planned opioid-related training for healthcare providers. This survey should take approximately 3 minutes to complete. Responses will be disconnected from any identifying information provided prior to the analysis of survey results. This survey was developed for needs assessment only and does not meet the definition of human research.  

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

2022-09-23T13:08:27-04:00September 23, 2022|Mississippi|

Nevada

At the September Board of Pharmacy meeting, Board members voted against extending a temporary emergency regulation re-instating the 6:1 pharmacy technician to pharmacist ratio that expired in July of 2022. 

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

2022-09-23T13:06:59-04:00September 23, 2022|Nevada|

North Carolina

on December 1, 2022, North Carolina will launch the NC Medicaid Managed Care Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans. “This plan is an integrated health plan for individuals with significant behavioral health needs and intellectual/developmental disabilities (I/DDs)” On October 12, 2022, at 8:00 am EST NC Medicaid will host an online seminar to provide valuable information about each of the contracted Tailored Plan managed care organizations, and to provide an opportunity for pharmacists to ask questions about what to expect, operational changes and processes. The target audience for the Webinar includes pharmacy owners, managers and those who submit pharmacy benefit claims for Medicaid beneficiaries. 

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

2022-09-23T13:06:28-04:00September 23, 2022|North Carolina|

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