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SPA 18-0013 RHC Physician Administered Drugs (PAD) approved by CMS

State Plan Amendment (SPA) 18-0013 Rural Health Clinic (RHC) Physician Administered Drugs (PADs) has been approved to allow the Division of Medicaid to reimburse an RHC 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 RHC encounter rate, effective July 1, 2018.

For more information, please read the approved SPA pages.