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CMS approved MS SPA 20-0005 Physician Administered Drugs

CMS approved MS State Plan Amendment (SPA) 20-0005 on October 14, 2020. SPA 20-0005 Physician Administered Drugs was submitted to allow the Division of Medicaid (DOM) to revise the fee schedule update from quarterly to annually, clarify if there is no Average Sales Price (ASP) or Medicare Addendum B OPPS fee schedule that a fee will be calculated using the Wholesale Acquisition Cost (WAC) pricing, and remove “plus six percent (6%)” from the ASP due to the ASP already including this 6% and is redundant effective July 1, 2020.

For more information read the approved SPA pages.