
Published:Mon, 08 Mar 2010 20:43:33 GMT
Long excluded by Medicaid programs in most states, millions of low-income adults without children could qualify for coverage under Democratic health overhaul proposals.......
Published:Tue, 09 Mar 2010 04:33:02 GMT
Juan Blandy, owner of Supreme Home Health Care Agency, was arrested last week by the Florida attorney generals Medicaid Fraud Control Unit and Miami-Dade Police.......
Published:Mon, 08 Mar 2010 14:15:05 GMT
A massive New York State audit claimed that health care providers recently billed publicly-funded health insurance program Medicaid for services provided to 287 dead patients......
Published:Tue, 09 Mar 2010 05:22:53 GMT
In this Kaiser Health News story, produced in collaboration with the Philadelphia Inquirer, reporter Rick Schmitt looks at a part of the proposed Medicaid expansion.......
Published:Tue, 09 Mar 2010 04:22:43 GMT
The State of Pennsylvania notified Aetna that it has awarded a Medicaid managed care contract to Aetna Better Health,SM Aetna’s Medicaid business.......
Medicaid Prescription Drug Coverage
Medicaid Prescription Drugs
The Medicaid Drug Rebate Program is a program in the United States that was created by the Omnibus Budget Reconciliation Act of 1990 (OBRA'90). It requires that drug manufacturers have a national rebate agreement with the Secretary of the Department of Health and Human Services (HHS) in order for states to receive Federal Medicaid coverage of their products.
In 2007, 550 pharmaceutics companies participated in the Medicaid Drug Debate Program and 49 states in addition to the District of Columbia supply drugs under the Medicaid Drug Rebate Program. In order for manufacturers to be eligible for Medicaid coverage a rebate agreement must be signed with Centers for Medicare and Medicaid Services.
The Medicaid Drug Utilization Review (DUR) Program was created by the Omnibus Budget Reconciliation Act (OBRA) of 1990. The main emphasis of the program is to promote patient safety by an increased review and awareness of outpatient prescribed drugs.
States were encouraged by enhanced federal funding to design and install point-of-sale electronic claims management systems that interface with their Medicaid Management Information Systems (MMIS) Operations.
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