Type : Bid Notification
Subject: Medicaid State Plan Amendment (SPA) 24-0005 Tribal Pharmacy Payments Effective Date: April 28, 2024 Description: The Health Care Authority (HCA) intends to submit Medicaid State Plan Amendment (SPA) 24-005 to add one (1) encounter-eligible visit per Indian Health Service (I H S) -eligible Medicaid beneficiary per day to the currently allowed five (5) encounters per day. This visit applies to pharmaceuticals/drugs purchased through the I H S and dispensed by a pharmacy facility operated by a tribe or tribal organization and funded by Title I or III of the Indian Self Determination and Education Assistance Act, at the outpatient per visit encounter rate published in the Federal Register. SPA 24-0005 also clarifies reimbursement for 3...