Apple Health (Medicaid), administered by the Health Care Authority (HCA), will implement changes to the State Maximum Allowable Costs (SMAC) list for the fee-for-service (FFS) Prescription Drug Program, effective December 15, 2026. The full SMAC list can be found on the agency’s Provider billing guides and fee schedules website under the Prescription Drug Program and applies to claims billed FFS.
For more information, contact NACDS’ Mary Staples at 817-442-1155.