Michigan
Medicaid issued Bulletin MMP 26-02 on January 23 that updates the Fee-for-Service Prior Authorization Process, excluding drug claims.
For more information, contact NACDS’ Jill McCormack at 717-592-8977.
Michigan
The public is invited to attend the Medicaid Health Plan Common Formulary stakeholder meeting from 9:30 am to 12:00 noon on October 20. It will be held virtually via Zoom using the password SLVU14. Participants may also access the meeting by phone by dialing 408-961-3928 and entering access code 351013. Attendees are asked to RSVP by emailing KrepsD@michigan.gov by October 15.
For more information, contact NACDS’ Jill McCormack at 717-592-8977.
Michigan
Medicaid has issued bulletin MMP 25-44, removing the pharmacy copayment for drugs used to prevent Human Immunodeficiency Virus (HIV) (Pre-Exposure Prophylaxis [PrEP] & Post-Exposure Prophylaxis [PEP]).
For more information, contact NACDS’ Jill McCormack at 717-592-8977.
Michigan
The Department of Health and Human Services has proposed policy change 2534-Pharmacy, removing copays for PrEP & PEP, effective November 2, 2025, contingent upon CMS approval. Comments are due by September 15 to GoethalsV@michigan.gov.
For more information, contact NACDS’ Jill McCormack at 717-592-8977.
Michigan
The Board of Pharmacy published its meeting agenda for August 20.
For more information, contact NACDS’ Jill McCormack at 717-592-8977.
Michigan
Medicaid is seeking new applicants to serve on its newly reimagined Medicaid Advisory Committee (MAC). Specifically, they are encouraging individuals who have experience with Medicaid as an advocate, community leader or direct service provider to apply.
Applications will be accepted until 5:00 pm on August 8. Visit the Online Application to learn more and apply. Questions can be directed to MDHHS-MAC@michigan.gov.
For more information, contact NACDS’ Jill McCormack at 717-592-8977.
Michigan
Medicaid has announced that, effective October 1, pharmacy providers must enroll in electronic funds transfer (EFT) to receive fee-for-service pharmacy payments. After this date, paper checks will no longer be issued for pharmacy payments. This change is intended to address issues such as lost checks, payment delays and mailing time, as well as to modify payment security protocols. Providers that still need to enroll in EFT will need to first register with the Prime User Administration Console (UAC). See the UAC Quick Start Guide for step-by-step instructions on the registration process. Once registered, you will have access to the Provider Job Aid/Prime Therapeutics Financial Portal Guide which will provide step-by-step instructions on completing the EFT enrollment process. After submitting your enrollment request, you will receive a phone call within three business days to verify the information you provided. Please make every effort to complete this verification as soon as possible once contacted to avoid any delays in finalizing your enrollment. Questions should be directed to the Prime Therapeutics Provider Support Line at 1-888-277-5510, OPTION 1.
Also in Michigan, Medicaid announced via email that effective August 1, the following brand products will no longer be preferred and will be replaced by their generic alternatives on the preferred drug list (PDL). An updated Brand over Generic List will be posted soon.
- Pradaxa® (dabigatran etexilate)
- Humalog Mix pen (insulin lispro protamine)
- Novolog cartridge (insulin aspart)
For more information, contact NACDS’ Jill McCormack at 717-592-8977.
Michigan
The Board of Pharmacy issued the following notices:
For more information, contact NACDS’ Jill McCormack at 717-592-8977.
Michigan
The Department of Health and Human Services will be conducting CHAMPS System maintenance this weekend. As a result, the system will not be available between 6:00 pm EST on November 16 through 9:00 am EST on November 17, 2024. Providers with questions should contact Provider Support at 1-800-292-2550 or ProviderSupport@Michigan.gov.
For more information, contact NACDS’ Jill McCormack at 717-592-8977.