The Office of the Secretary of Family and Social Services issued a notice of a proposal to reimburse COVID-19 vaccine administration and monoclonal antibody treatment at the Medicare rate, effective July 1, 2021. Comments are due June 25, 2021. Contact Sara Albertson; FSSA, Office of Medicaid Policy and Planning; 317-233-4455; spacomment@fssa.in.gov
For more information, contact NACDS’ Mary Staples at 817-442-1155.
Gov. Eric Holcomb (R) signed into law House Bill 1468 – Various health matters – Indiana General Assembly, 2021 Session by Rep. Steven Davisson, a broad health care provider bill NACDS supported that included the following provisions that impact pharmacy practice:
For more information, contact NACDS’ Mary Staples at 817-442-1155.
House Bill 1405 PBM reform legislation NACDS supported led by Meijer passed the General Assembly and was sent to Gov. Eric Holcomb (R). There were multiple provisions important to pharmacies including (1) prohibitions on quantity or refill limits, (2) weekly MAC list updates, (3) notification to all pharmacies on successful MAC appeals and adjustments, and (4) established a formal complaint process for addressing MAC appeals and contractual issues.
For more information, contact NACDS’ Mary Staples at 817-442-1155.
The Indiana Health Coverage Programs (IHCP) posted a bulletin clarifying drugs that are carved out of managed care to the provider website at in.gov/medicaid/providers.
For more information, contact NACDS’ Jill McCormack at 717-592-8977.
SB 47, authored by Pharmacist-Legislator Ron Grooms (R), has unanimously passed the Senate and has been referred to the House for consideration. The legislation would permanently allow pharmacists and pharmacy technicians to administer COVID vaccines to persons aged 11 and older, the current statutory age limitation for other vaccines.
For more information, contact NACDS’ Jill McCormack at 717-592-8977.
Health Commissioner Dr. Kristine Box has issued a Standing Order allowing pharmacists and interns to administer vaccines as recommended by the Advisory Committee on Immunization Practices (ACIP) to patients age 11 and older. The Standing Order recognizes HHS’ recent declaration permitting pharmacists to order and administer (and interns to administer) vaccines for children ages 3-18 and notes that for these immunizations ordered or administered under HHS’ declaration, the declaration requirements should be followed. Commissioner Box also signed immunization protocols for the administration or dispensing of vaccines to individuals 11 and older, which is the current age range under the state statute.
For more information, contact NACDS’ Jill McCormack at 717-592-8977.
Indiana Health Coverage Programs (IHCP) has announced a new requirement that pharmacies use the Quantity Prescribed field for schedule II drugs on payer sheets beginning September 21, 2020.
For more information, contact NACDS’ Jill McCormack at 717-592-8977.
Medicaid has announced an additional 3-month extension of its Prior Authorization waiver policy under COVID-19 waivers. No prior authorization will be needed for medications dispensed before Sept. 1, 2020.
For more information, contact NACDS’ Jill McCormack at 717-592-8977.
Medicaid has announced that they have resumed the pre-COVID 19 process for early refill requests in both the fee-for-service and managed care process, effective for dates of service on or after June 1st.
For more information, contact NACDS’ Jill McCormack at 717-592-8977.