South Carolina

On January 23, 2020, Centene Corporation acquired WellCare Health Plans, Inc., which included WellCare of South Carolina, a managed care organization (MCO) contracted with the South Carolina Department of Health and Human Services (SCDHHS). As a result of this acquisition, WellCare will no longer participate in SCDHHS’s Healthy Connections Medicaid managed care program. Effective April 1, 2021, existing WellCare Medicaid members will be served by Absolute Total Care. Absolute Total Care is a wholly owned subsidiary of Centene Corporation. WellCare will remain responsible for claims, appeals and hearings, and other administrative processes that occur before April 1, 2021. To satisfy its contractual requirements with SCDHHS, WellCare will keep administrative processes in place for at least 12 months after exiting the Healthy Connections Medicaid managed care program. Providers rendering services to WellCare members will continue to work directly with WellCare for all dates of service before April 1, 2021. Additional administrative information may be found on WellCare’s website.

All Healthy Connections members transferred to Absolute Total Care on April 1, 2021, will maintain a continuity of care period for up to 90 days during which time members will continue to receive all authorized services from their current providers. If providers have questions about how this acquisition may affect them, they should call WellCare Provider Services at (888) 588-9842 or Absolute Total Care Provider Services at (866) 433-6041.

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

2021-01-15T10:29:25-05:00January 15, 2021|South Carolina|

Texas

The Legislature convened on Tuesday, January 12, and immediately elected a new Speaker of the House, Republican Dade Phelan from Beaumont.

Also in Texas. The Texas Department of State Health Services (DSHS) instructed the Centers for Disease Control and Prevention (CMS) to ship first doses of COVID-19 vaccine to 28 hub providers for large community vaccinations of health care workers, people 65 and older, and anyone 16 and older with medical conditions that put them at greater risk of hospitalization and death from COVID-19.

Also in Texas. The Medical Board adopted a final rule establishing the process and circumstances under which physicians may obtain a waiver to be exempt from requirements for electronic prescribing of controlled substances.

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

2021-01-15T10:26:44-05:00January 15, 2021|Texas|

Virginia

The Emergency Regulation allowing pharmacists to initiate treatment for Naloxone, Epinephrine, Hormonal Contraceptives, Prenatal vitamins, and certain OTC meds under protocols are currently in effect as of January 3. The protocols and other documentation forms needed can be found here. As you will recall, these regs are the result of the passage of HB 1506 last session, a legislative priority for members that NACDS was instrumental in passing.

Also in Virginia. The Pharmacy Technician Registration Emergency Regulation became effective January 3. The Board of Pharmacy expects to have an online registration portal operational next week and will email licensees when it is available for technician trainee registration. However, certification is not required to register as a technician until July 1, 2022.

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

2021-01-15T10:25:36-05:00January 15, 2021|Virginia|

Alabama

Please find attached the Alabama Medicaid ALERT for pharmacy billing of the COVID-19 vaccine administration (you can also find the ALERT here).

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

2021-01-08T10:45:25-05:00January 8, 2021|Alabama|

Florida

The Division of Disease Control published an emergency rule to adopt regulations under FAC 64DER20-44 to authorize redistribution of the COVID-19 vaccine between vaccine providers within the state. The rule specifies that providers must receive approval from the Florida Vaccines for Children and Adults Program and requires tracking of vaccine redistribution between enrolled providers. The rule is effective December 17, 2020 and expires March 17, 2021.

Also in Florida. The Board of Pharmacy published a notice announcing its intentions to amend regulations under FAC 64B16-33 to establish a rule regarding the international export pharmacy permit and to develop and incorporate an application. Comment due date is not specified.

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

2021-01-08T10:44:06-05:00January 8, 2021|Florida|

Illinois

The Department of Healthcare and Family Services issued a provider notice with billing and reimbursement for pharmacies administering COVID-19 vaccination. Please visit the above link for additional information.

For more information, contact NACDS’ Joel Kurzman at 847-905-0555.

2021-01-08T10:43:07-05:00January 8, 2021|Illinois|

Iowa

The Department of Public Health has added new documents to its COVID-19 website pertaining to pharmacy, including billing and reimbursement information for administering the COVID-19 vaccination and updates to the statewide standing order as of December 30.

Also in Iowa. the Department of Human Services issued a final rule amending regulations to allow automatic prescription drug refills, with participation in such a program being voluntary and opt-in only, on a drug-by-drug basis, and to establish standards. The rule is effective on March 1, 2021.

For more information, contact NACDS’ Joel Kurzman at 847-905-0555.

2021-01-08T10:42:03-05:00January 8, 2021|Iowa|

Kentucky

The Board of Pharmacy published an emergency rule to allow pharmacists, pharmacy technicians, and pharmacist interns to order and to administer vaccinations to children between the ages of three and 17 in response to the COVID-19 pandemic and to comply with federal standards under the PREP Act. A hearing is scheduled for February 23, 2021, via teleconference and written comments are due February 28, 2021. The rule became effective November 23 and expires August 20, 2021.

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

2021-01-08T10:40:06-05:00January 8, 2021|Kentucky|

Maryland

Gov. Hogan (R) issued an Executive Order (EO) on January 5 requiring providers to report the administration of COVID-19 vaccines within 24 hours. The EO states that employers of providers share joint and several responsibilities for compliance with the order and includes penalties for non-compliance. Please visit the above link for more details on the Executive Order.

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

2021-01-08T10:38:26-05:00January 8, 2021|Maryland|
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