SPA 18-0012 FQHC Physician Administered Drugs (PAD) approved by CMS

State Plan Amendment (SPA) 18-0012 Federally Qualified Health Center (FQHC) Physician Administered Drugs (PADs) has been approved to allow the Division of Medicaid to reimburse an FQHC the encounter rate for the administration of certain categories of physician administered drugs (PADs), referred to as Clinician Administered Drug and Implantable Drug System Devices (CADDs), reimbursed under the pharmacy benefit to the extent  the CADDs were not included in the calculation of the FQHC encounter rate, effective July 1, 2018.

For more information, read the approved SPA pages.