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Committee advances first substitute to change Medicaid drug overrides and allow 'deeming' for behavioral health providers
Summary
A first substitute to House Bill 347 would remove a long-standing Medicaid dispense-as-written override for most psychotropic medications while creating a process to accept national accreditation as evidence that adult behavioral-health providers meet state licensing standards.
Representative Dunnigan presented the first substitute for House Bill 347 as a package of Medicaid pharmacy and behavioral-health regulatory changes. The first portion would remove a longstanding dispense-as-written (DAW) override for most psychotropic medication classes — such as many antidepressants and ADHD drugs — so new patients would generally be required to try a preferred drug on Medicaid’s preferred drug list (PDL) before a non-preferred agent. The sponsor and Jen Strohacker,…
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