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Health and Human Resources
Department of Medical Assistance Services
Board of Medical Assistance Services
Mandate 681

Mandate Information
Mandate Title:
Pharmacy Fee-For-Service Reimbursement
Purpose of legislation
To implement the mandate at 2015 Acts of Assembly, Chapter 665, Item 301 QQ (and 2016 Acts of Assembly, Chapter 780, Item 306.OO) that required DMAS to implement a pricing methodology to modify or replace the current pricing methodology for pharmaceutical products as defined in 12 VAC 30-80-40.
Legislation mandating a change
Budget item mandating a change Item 301 (2015)
Item 306 (2016)
VAC chapters to be amended
12 vac 30 - 80 : Methods and Standards for Establishing Payment Rate; Other Types of Care
Associated Regulatory Actions
Action 4456: Pharmacy Fee-for-Service Reimbursement
Latest Stage: Final
Deadline for the regulation to become effective 1/9/2019
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