The provisions of this final rule related to pharmacy payments do not apply to MCO payment or reimbursement methodologies, including MCO providers participating in the 340B program.
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Date
Sub Topic
FAQ ID
94776
FAQ Page
FAQ Question
Please verify that the AAC methodology for determining Medicaid reimbursement will only apply to FFS and that Medicaid MCOs that are paid a capitated fee by the state for benefits that include provision of Covered Outpatient Drugs are permitted to establish payment terms with prescription drug providers that do not take AAC into account.