Florida

Effective immediately, the Florida Medicaid Management Information System (FMMIS) will no longer pay for services billed to Medicaid for recipients enrolled in a Fully Liable Medicare Advantage Plan. On May 3, 2021, the Agency issued a Medicaid Health Care Alert titled “Effective July 1:  Providers Must Bill Dual Eligible Special Needs Plans (D-SNP) for All Services”, which informed providers that effective July 1, 2021, the Florida Medicaid Management Information System (FMMIS) would no longer pay for services billed to Medicaid for recipients enrolled in a Dual Eligible Special Needs Plan (D-SNP).  This alert is to clarify that this requirement also applies to Florida’s Fully Liable Medicare Advantage Plans, and that providers must bill all services to a recipient’s Fully Liable Medicare Advantage Plan. 

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

2021-08-13T08:18:17-04:00August 13, 2021|Florida|

Georgia

The Georgia Pharmacy Association (GPhA) is offering Immunization Delivery Training for Pharmacy Technicians, a 6.0-hour CE program consisting of both home-study and live training. Under HHS authorization (PREP Act 10.20.20) trained pharmacy technicians can administer certain vaccines under the supervision and authorization of a pharmacist. GPhA is offering live training on Saturday, October 16, 2021 in Sandy Springs. Space is limited. You can find more information here. 

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

2021-08-13T08:17:30-04:00August 13, 2021|Georgia|

Iowa

The Department of Human Services issued the following: 

  • INFORMATIONAL LETTER NO. 2243-MC-FFS updating the 340B Drug Pricing Program with billing information. 
  • INFORMATIONAL LETTER NO. 2245-MC-FFS updating the prospective safety edits for subsequent fills for opioids with information about point of sale (POS) billing and prior authorization (PA). 
  • INFORMATIONAL LETTER NO. 2254-MC-FFS reminding pharmacy providers to enroll with Iowa Medicaid so that they may prescribe naloxone or nicotine replacement therapy and order and administer vaccines in accordance with the Iowa Board of Pharmacy statewide protocols.   

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

2021-08-13T08:16:18-04:00August 13, 2021|Iowa|

Missouri

In 2020 voters approved a state constitutional amendment mandating Medicaid expansion. Gov. Mike Parson’s included funding in his budget proposal but the General Assembly refused to fund the expansion to cover 275,000 more low-income adults and hire 75 more employees to administer the expanded program. On August 10th the Circuit Court ruled that the Missouri Department of Social Services (DSS) should immediately begin enrolling people into the MO HealthNet program.   

Also in Missouri, the Board of Pharmacy will be holding a virtual meeting on August 18th to discuss the newly formed Pharmacy Working Conditions Task Force members and meeting schedule, finalize draft legislation for 2022 session, and cover the following topics: https://pr.mo.gov/boards/pharmacy/meetings/future/2021-08-18%20OPEN%20Conf.%20Call.pdf. 

Finally in Missouri, the Pharmacy Agent Corporation (PAC) along with the Missouri Pharmacy Association (MPA) and consultant, G.L.O. & Associates, secured an additional $5 million in funding for MO HealthNet to increase the net dispensing fee to $10.05 after all provider tax payments and expenses.  

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

2021-08-13T08:14:33-04:00August 13, 2021|Missouri|

Nebraska

The DUR Board will meet on September 14.  The following materials have been posted on the website: agenda, policy statements and July 13, 2021 draft meeting minutes.   

Also in Nebraska, the Board of Pharmacy will conduct a conference call meeting on August 16.  The agenda with information to access the conference call and a link to the draft regulations (172 NAC 134) related to “delegated dispensing permits” have been posted. 

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

2021-08-13T08:13:34-04:00August 13, 2021|Nebraska|

Texas

At the August 3rd Board of Pharmacy, after a lengthy debate, the Board agreed to accept the proposed draft language of concern to chain pharmacies emergency refills of insulin and insulin supplies and new requirements on compounding non-sterile products including flavoring and simple mixture of creams and lotions. The Board will consider adopting final rules at their November 2nd meeting. 

Also in Texas, pharmacies continue lobbying efforts to secure funding for the Prescription Monitoring Program (PMP) through the American Rescue Plan Act (ARPA) of 2021 to prevent any PMP usage interruptions. https://www.nacds.org/ceo/2021/0813/PMP-ARPA-Funding-Letter-8.11.2021.pdf 

Also in Texas, Gov. Greg Abbott (R) announced that the temporary suspension of numerous COVID-19 rules listed on this link will terminate on September 1, 2021. The list includes discontinuing the telephonic counseling waiver in §291.33(c)(1)(B)(iii). https://www.pharmacy.texas.gov/coronavirus/temporary-rule-suspensions.asp 

Finally in Texas, the Governor convened a second 30-day special session on August 7th, but the partisan stalemate continues. On August 10th, House Speaker Dade Phelan (R) signed civil arrest warrants for 52 House Democrats still missing from the state Capitol to regain a quorum needed so that the House of Representatives can begin moving legislation during the second special

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

2021-08-13T08:10:48-04:00August 13, 2021|Texas|

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