The Indiana Health Coverage Programs (IHCP) posted a provider Bulletin which includes billing guidance for pediatric vaccine counseling and pharmacy reimbursement updates for COVID vaccine administration.
For more information, contact NACDS’ Mary Staples at 817-442-1155.
The Indiana Health Coverage Programs will host an online seminar on December 1 to discuss provider notices published during November.
For more information, contact NACDS’ Mary Staples at 817-442-1155.
In advance of the October 20 Interim Study Committee on Financial Institutions and Insurance joint hearing on market concentration of the health insurance industry, NACDS submitted a letter focusing on market concentration in the PBM (Pharmacy Benefits Managers) industry and its impact on retail community pharmacies and patient health.
For more information, contact NACDS’ Mary Staples at 817-442-1155.
On October 20, the Interim Study Committee on Financial Institutions and Insurance is holding a joint hearing on market concentration of the health insurance industry, hospital industry, health care practitioners, retail pharmaceutical industry, pharmacy benefit manager industry and pharmacy services administration organization industry.
Also in Indiana, Health Coverage Programs (IHCP) posted important information for providers, including:
For more information, contact NACDS’ Mary Staples at 817-442-1155.
Gov. Eric Holcomb (R) administration that the state has $6.1 billion in reserve following the closeout of its fiscal year, having collected $353 million more in revenue than the current budget needs. Because of the new law passed during the special session, the first one billion dollars in excess goes to paying down debt in the teacher pension fund. The remaining surplus will be disbursed to taxpayers as part of the Governor’s inflation relief plan.
For more information, contact NACDS’ Mary Staples at 817-442-1155.
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.
The Family and Social Services Administration’s (FFSA) Indiana Health Coverage Programs (IHCP) Medicaid announced that effective July 1, 2023, all managed care plans will cover both preferred and nonpreferred drugs, maintain the same clinical criteria requirements and use the same format for prior authorization (PA) as the fee-for-service (FFS) program.
For more information, contact NACDS’ Mary Staples at 817-442-1155.
Gov. Eric Holcomb (R) convened an 11-day special session in late July. Both Senate Bill 1, the “abortion ban bill,” and Senate Bill 2, the “tax refund bill” passed and were signed into law. Early in the session the Indiana Pharmacists Association rallied pharmacists to advocate for an amendment allowing pharmacists prescribing self-administered hormonal contraceptives, but the amendment failed by one vote, 48-49.
Also in Indiana, the Senate President Pro Tem Rodric Bray (R) named Sen. Chris Garten (R) as the new Majority Floor Leader, replacing Sen. Mark Messmer (R) who served as the floor leader since 2018.
For more information, contact NACDS’ Mary Staples at 817-442-1155.
A special session on banning abortion and taxes was convened on Monday, July 25. Pharmacies are promoting an amendment allowing pharmacists prescribing self-administered hormonal contraceptives.
For more information, contact NACDS’ Mary Staples at 817-442-1155.