Public Notice for SPA 18-0012 Federally Qualified Health Center (FQHC) Physician Administered Drugs

Pursuant to 42 C.F.R. Section 447.205, public notice is hereby given to the submission of a Medicaid State Plan Amendment (SPA). The Division of Medicaid, in the Office of the Governor, is submitting SPA 18-0012 Federally Qualified Health Center (FQHC) Physician Administered Drugs. Effective July 1, 2018 and contingent upon approval from the Centers for Medicare and Medicaid Services (CMS), the Division of Medicaid will begin reimbursing FQHCs outside of the encounter rate for the administration of physician administered drugs covered and reimbursed through the pharmacy benefit.

For more information, read the public notice and draft pages.

Posted June 29, 2018