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News & Press: Legislative & Regulatory

LPA: Emergency Rule Released re: Pharmacy Benefits Management Program

Monday, January 16, 2017  
Posted by: Nicole Turner
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The following Emergency Rules will be published in the January 20, 2017 issue of the Louisiana Register:

 

Pharmacy Benefits Management Program Methods of Payment

  • Department of Health
  • Bureau of Health Services Financing
  • Effective January 25, 2017
  • Upon further consideration and consultation with the U.S. Department of Health and Human Services, Centers for Medicaid and Medicare Services (CMS) on the corresponding Medicaid state plan Amendment, the department determined that it was necessary to rescind the provisions of the November 1, 2012 Emergency Rule governing the reimbursement methodology for services rendered in the Pharmacy Benefits Management Program, and to return to the reimbursement rates in effect on September 5, 2012 which is consistent with the currently approved Medicaid state plan (Louisiana Register, Volume 40, Number 10). This Emergency Rule is being promulgated to continue the provisions of the October 1, 2014 Emergency Rule.

View the full Emergency Rule here. This rule will appear in the January 20, 2017 issue of the Louisiana Register.

 

 

Pharmacy Benefits Management Program State Supplemental Rebate Agreement Program (LAC 50:XXIX.Chapter 11)

  • Department of Health
  • Bureau of Health Services Financing
  • Effective February 15, 2017
  • Pursuant to R.S. 46:153.3, the department shall enter into a contractual agreement with Provider Synergies to participate in TOP$. Provider Synergies/Magellan Medicaid Administration will act on the department’s behalf to provide the necessary administration services relative to this agreement for the provision of state supplemental drug rebate contracting and preferred drug list administration services.

View the full Emergency Rule here. This rule will appear in the January 20, 2017 issue of the Louisiana Register.


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