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  • Medicaid Provider Alert: Provider revalidation has begun and those not completing the process risk disenrollment.  Check your account now to learn when your revalidation is due. More information here.
Elizabeth M. Whitehorn, Director

Provider Notice Issued 10/30/2020

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Date:    October 30, 2020

 

To:       Enrolled Pharmacies

 

Re:      Critical Access Pharmacy (CAP) Dispensing Fee Program

 

This notice provides information related to pharmacies meeting the definition of a Critical Access Pharmacy (CAP) that missed the June 30, 2020 self-attestation deadline for the enhanced dispensing fee.

 

To receive enhanced dispensing fees for the current fiscal year July 1, 2020 through June 30, 2021, a CAP must self-attest via the MEDI system between July 1, 2020 and November 30, 2020 to meeting the State Plan CAP criteria. CAPs that completed the attestation process after July 1, 2020, and are currently not receiving the enhanced dispensing fee, can expect to start receiving the correct CAP dispensing fee by December 15, 2020. Once the update is complete, CAPs that are not receiving the enhanced dispensing fee may void and rebill affected claims for dates of service back to July 1, 2020.

 

Questions regarding this notice may be directed to the Bureau of Professional and Ancillary Services at 877-782-5565.

 

 

Kelly Cunningham

Interim Medicaid Administrator