[Provider] MaineCare Adopted Rulemaking for Pharmacy Services

[Provider Notification]

The following rulemaking(s) has recently been adopted.

 

CHAPTER NUMBER AND TITLE: 

MaineCare Benefits Manual, Chapter II, Section 80, Pharmacy Services

 

CONCISE SUMMARY:  

The Department of Health and Human Services ("the Department") has
placed a 4-brand name limit (with the 5th and subsequent brand names
requiring PA) for all MaineCare members over age 18 who are not eligible
for Medicare Part D, with the exception of those taking drugs for the
treatment of cancer and HIV and atypical antipsychotic drugs.
Additionally, these emergency rules increase the member co-pay from
$2.50 to $3.00 per prescription, not to exceed $30 per member per month.

 

Pursuant to 5 MRSA sec. 8054, the Department has determined that
immediate adoption of these rules is necessary to avoid an immediate
threat to public health, safety or general welfare.  Absent immediate
corrective action, the funding available to the Department would soon be
inadequate to meet various expenditures of the Department, threatening
both members and providers in the MaineCare program.  

 

Rules and related rulemaking documents can be found at:

http://www.maine.gov/bms/rules/gen_other_rules.htm
<http://www.maine.gov/bms/rules/gen_other_rules.htm>  

 

EFFECTIVE DATE:

July 1, 2007 - September 28, 2007

 

AGENCY CONTACT PERSON:       

Scott Goulette, Comprehensive Health Planner

 

This is notice of a rule that has recently been adopted as an emergency
rule.  The text of the rule and other information will be on the
MaineCare website shortly.  The link to that website is:

http://www.maine.gov/bms/rules/provider_proposed_mcare.shtml

 

 

This is a one-way communication.  Please do not respond to this message.

 

 

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