As a result of the passage of legislation earlier this year that NACDS supported, HB (House Bill) 1568 allowing pharmacists who meet certain requirements to prescribe and dispense hormonal contraceptive patches and self-administered hormonal contraceptives, CMS approved the SPA (State Plan Amendment) giving pharmacists the ability to bill Medicaid for services associated with the prescribing of hormonal contraceptives.  
 
Also in Indiana, the Family and Social Services Administration (FSSA) recently issued several Indiana Health Coverage Program (IHCP) bulletins of interest to pharmacies, including pharmacy updates approved by the DUR (Drug Utilization Review) Board, enhancements to the fee-for-service prior authorization submissions process and changes to the submission requirements for the FFS (Fee for Service) claim administrative review process. IHPC also provided new portal links to providers webpage.  

Also in Indiana, Cora Steinmetz, JD, is the new Medicaid Director, Family and Social Services Administration (FFSA). Previously, she was Senior Operations Director for health-related state agencies for Gov. Eric Holcomb (R).   

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

As a result of the passage of legislation earlier this year that NACDS supported, HB (House Bill) 1568 allowing pharmacists who meet certain requirements to prescribe and dispense hormonal contraceptive patches and self-administered hormonal contraceptives, CMS approved the SPA (State Plan Amendment) giving pharmacists the ability to bill Medicaid for services associated with the prescribing of hormonal contraceptives.

Also in Indiana, the Family and Social Services Administration (FSSA) recently issued several Indiana Health Coverage Program (IHCP) bulletins of interest to pharmacies, including pharmacy updates approved by the DUR (Drug Utilization Review) Board, enhancements to the fee-for-service prior authorization submissions process and changes to the submission requirements for the FFS (Fee For Service) claim administrative review process. IDPC also provided new portal links to providers webpage. 

Also in Indiana, Cora Steinmetz, JD, is the new Medicaid Director, Family and Social Services Administration (FFSA). Previously, she was Senior Operations Director for health-related state agencies for Gov. Eric Holcomb (R).  

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

The state’s Health Coverage Programs (IHCP) provided updates on prior authorization (PA) criteria and Preferred Drug List (PDL) as approved by the Drug Utilization Review (DUR) Board at its June meeting. The provisions apply only to Medicaid fee-for-service.

Also in Indiana, a Medicaid state plan amendment (SPA) allowing pharmacists to be enrolled as providers was submitted to the Centers for Medicare & Medicaid Services (CMS). The SPA allows pharmacists to be enrolled as providers and includes provisions that would reimburse for all services pharmacists provide within their scope. Unfortunately, the state rulemaking process could take 18 months to two years to implement once approved by CMS. 

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

The Family and Social Services Administration’s (FSSA) Office of Medicaid Policy and Planning’s Medicaid Director Allison Taylor is retiring later this summer. FSSA Secretary Dr. Dan Rusyniak announced that Cora Steinmetz, Gov. Holcomb’s senior operations director for health-related state agencies, will be the next director of Indiana Medicaid. Steinmetz and Taylor will work closely during the weeks ahead to ensure a smooth transition.  

Also in Indiana, the Health Coverage Programs (IHCP) updated its member eligibility and benefit coverage manual.  

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

The Health Coverage Programs (IHCP), Medicaid, issued a bulletin updating the prior authorizations, preferred dug list and over-the-counter formularies approved at the May meeting of the Drug Utilization Review (DUR) Board.

Also in Indiana, IHCP announced pharmacy benefit COVID updates in response to the expiration of the public health emergency (PHE).

Also in Indiana, the Office of the Secretary of Family and Social Services (FFSA) recently adopted a rule clarifying electronic signatures.

Also in Indiana, last week Gainwell Technologies migrated the Indiana Medicaid system (CoreMMIS) to the Amazon Web Services (AWS) Cloud. IHPC’s Provider Healthcare Portal also migrated to AWS as part of this initiative.

Finally in Indiana, on July 5, 2023, the FFSA will adopt a single Medicaid formulary, called the statewide uniform preferred drug list (SUPDL), which will align members enrolled in Healthy Indiana Plan (HIP), Hoosier Care Connect or Hoosier Healthwise managed care entity (MCE) with the fee-for-service (FFS) formulary.

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

On May 1, Gov. Eric Holcomb (R) signed into law HB 1568, legislation allowing pharmacists to prescribe and dispense hormonal contraception.

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

Legislation authorizing pharmacists to prescribe hormonal contraception passed both houses and was sent to Gov. Eric Holcomb (R) to be signed into law. (HB 1568)

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

HB 1568, legislation granting pharmacists independent prescriptive authority of a drug product, was amended in the Committee on Public Health to include a requirement for Medicaid to pursue a state plan amendment for payment for pharmacy services for the non-dispensing activities associated with prescribing a contraceptive. The bill was passed by the House by a vote of 167-86-12, and it is currently awaiting further action in the Senate Health and Provider Services Committee. The Family and Social Services Administration (Medicaid) has confirmed that with this authority they would pursue a state plan amendment (SPA) that would encompass all non-dispensing, clinical pharmacist services for reimbursement under Medicaid.

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

The Family and Social Services Administration (FSSA) posted several bulletins of interest to pharmacies. 

• BT202306 – Pharmacy updates approved by Drug Utilization Review Board January 2023 
• BT202304 – IHCP [Indiana Health Coverage Programs] announces end to member continuous eligibility 
• BT2022118 – Pharmacy updates approved by Drug Utilization Review Board December 2022 

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