The Department of Health (LDH) provided new Policy memos on a variety of subjects:  

• Louisiana Medicaid Pharmacy Point of Sale Quantity Limit – Effective April 1, 2024 
• Louisiana Medicaid Pharmacy Point of Sale Age Requirements – Effective April 1, 2024 
• Louisiana Medicaid Pharmacy Point of Sale Edits for Therapeutic Duplication and Prior Use – Effective April 1, 2024 
• Louisiana Medicaid Pharmacy Point of Sale Diagnosis Code Requirement – Effective April 1, 2024 
• Louisiana Medicaid Pharmacy Point of Sale Clinical Authorization and Updates – Effective April 1, 2024 
• Louisiana Medicaid Pharmacy Compound Drug Coverage for Managed Care Organizations (MCOs) – Effective April 1, 2024 

Also in Louisiana, the PBM (Pharmacy Benefit Managers) Monitoring Advisory Council met on April 11 to discuss these agenda items. The draft minutes from the February 7 meeting are available.  

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

HB 579, legislation filed by Rep. Wayne McMahen (R) allowing pharmacists to screen patients, initiate therapy, administer and dispense PEP (Post Exposure Prophylaxis) and PrEP (Pre exposure Prophylaxis) medications, and receive payments at the same rate as other healthcare providers, was reported favorably from the House Health and Welfare Committee on April 3.  

Also in Louisiana, HB 193, legislation filed by Rep. Chris Turner (R) that authorizes the transfer of a prescription or prescription information for controlled substances between pharmacies in conformance with federal regulations, unanimously passed the House on April 2 and was referred to the Senate. 

Also in Louisiana, the next regular meeting of the PBM Monitoring Advisory Council on which NACDS has a designated Council seat is scheduled for April 11 and will be held in the Poydras Hearing Room (Ground Floor) at the Louisiana Department of Insurance. The meeting agenda includes instructions on how to participate in a Zoom meeting. 

Finally in Louisiana, the Department of Health (LDH) issued Informational Bulletin 19-3, revising the options to providers for pursuing resolution of issues with Medicaid managed care organizations (MCO) and the state's fee-for-service claims processor, Gainwell Technologies. Unless explicitly notated, providers should first seek resolution with the MCO or Gainwell directly, prior to engaging LDH or other third parties. 

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

Two new final rules were published in the March 20 Louisiana Register, effective immediately. The PMP rule streamlines the CDS (controlled dangerous substance) license reinstatement process, updates the facility CDS license change of ownership procedures, and adds a new subsection to address changes to CDS license status. The Pharmacist Application rule removes the requirement to submit an application for initial pharmacist licensure to the Board at least 30 days prior to any examination. 

Also in Louisiana, the 2024 regular session of the Louisiana legislature convened on March 11. The Louisiana Alliance of Retail Pharmacies and NACDS' top priority this session is to advance a PEP/PrEP bill, HB 579, filed by Rep. Wayne McMahen (R). The bill has been referred to the House Health and Welfare Committee. 

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

A HIVPEP/PrEP bill, HB 579, was pre-filed by State Rep. Wayne McMahan (R). The bill is modeled after the 2023 Arkansas law (Act 314). 

Also in Louisiana, the Department of Health (LDH) issued an Informational Bulletin 24-3:  updating the immunization fee schedule. 

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

Medicaid issued a Pharmacy Facts program update alerting pharmacies that the Single Pharmacy Benefits Manager (PBM) for Managed Care Organizations (MCO) Magellan, will contact network Pharmacy Services Administrative Organizations (PSAO), chains and independent pharmacies, to agree to the new level of effort (LOE) compound fee schedule effective April 1, 2024.

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

The Department of Health's (LDH) Informational Bulletin 24-3 providing Medicaid immunization fee schedule updates has been posted.  

Also in Louisiana, providers who bill for medically necessary services for specialized mental health and substance use services for dual eligibles for Medicaid enrollees should follow the process detailed in LDH's Informational Bulletin 15-17. 

Also in Louisiana, LDH's Informational Bulletin 24-2 provides the American Society of Addiction Medicine (ASAM) criteria updates for adult substance use services. 

Finally in Louisiana, the agenda for the February 21 Board of Pharmacy meeting should be available on the website soon.  

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

The Department of Health (LDH) Medicaid Fee for Service (FFS) and Managed Care Organizations began reimbursing pharmacies for blood clotting factor products administered in an outpatient setting as a pharmacy benefit on February 1, 2024. 

Also in Louisiana, the Board of Pharmacy's quarterly meeting is in Baton Rouge on February 20 and 21. 

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

The next PBM Monitoring Advisory Council meeting, on which NACDS has a designated seat in statute, will be meeting on February 7 at 10:30 am at the Department of Insurance offices in Baton Rouge.  

Also in Louisiana, the Prescription Monitoring Program (PMP) Advisory Council, on which NACDS has a designated seat in statute, will be meeting February 7 at 1:30 pm at the Board of Pharmacy office. 

Finally in Louisiana, the Medicaid Fee for Service (FFS) Pharmacy Program and Managed Care Organizations (MCOs) updated the reimbursement methodology for clotting factor products effective on February 1. 

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

Gov. Jeff Landry (R) starts his first term with a Republican supermajority in both houses. The Governor immediately convened an 8-day special session on January 15 to address three issues – congressional redistricting, reconfiguring the Supreme Court and changing the elections system. 

Also in Louisiana, the Department of Health announced that effective February 1, the clotting factor reimbursement methodology will change to an average acquisition cost per unit and a dispensing fee per unit dispensed and will be limited to pharmacy claims only. 

Finally in Louisiana, the Board of Pharmacy’s Regulatory Project 2023-02 ~ Temporary Closure of Pharmacy Final Rule went into effect on January 20. 

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