Medicaid Reimbursement For Services By Pharmacists


Under the act, a pharmacist is eligible for reimbursement under the medical assistance program for certain medically necessary pharmacist services, as described in the act, that are not duplicative of other pharmacist services or programs reimbursed under the medical assistance program. The department of health care policy and financing shall include services reimbursed pursuant to the act in the review of provider rates for the medical assistance program.Further, the act allows a pharmacist or pharmacy that dispenses or administers extended-release injectable medications for the treatment of mental health or substance use disorders to seek reimbursement for those medications under the medical assistance program as either a pharmacy benefit or as a medical benefit.The act requires that costs associated with services provided by clinical pharmacists through a federally qualified health center (FQHC) be considered allowable costs for the purpose of the FQHC's cost report and be included in the calculation of the reimbursement rate for a patient visit at an FQHC.The act appropriates $372,554 to the department of health care policy and financing from the general fund and the healthcare affordability and sustainability fee cash fund to implement the act.(Note: This summary applies to this bill as enacted.)

Bill Text

Bill Activity

  • Signed Governor Signed

  • Signed by the President of the Senate

  • Signed by the Speaker of the House

  • Sent to the Governor

  • Passed Senate Third Reading Passed - No Amendments

  • Senate Second Reading Special Order - Passed - No Amendments

  • Senate Committee on Appropriations Refer Unamended - Consent Calendar to Senate Committee of the Whole

  • Senate Committee on State, Veterans, & Military Affairs Refer Unamended to Appropriations

  • Introduced In Senate - Assigned to State, Veterans, & Military Affairs

  • Passed House Third Reading Passed - No Amendments

  • House Second Reading Special Order - Passed with Amendments - Committee

  • House Committee on Appropriations Refer Amended to House Committee of the Whole

  • House Committee on Health & Insurance Refer Amended to Appropriations

  • Introduced In House - Assigned to Health & Insurance

Hearings on this Bill

  • Appropriations
  • State, Veterans, & Military Affairs
  • Appropriations
  • Appropriations
  • Appropriations
  • Appropriations
  • Health & Insurance
  • Health & Insurance


lower chamber: