Dự luật số 97 của Hội đồng Giảm Mười Phần Trăm Thanh toán cho Nhà thuốc
**Attention: For information related to the AB 97 Recoupment process, please view the AB 97 Pharmacy Recoupment EPC Frequently Asked Questions.
Assembly Bill (AB) 97 (Chapter 3, Statutes of 2011) requires the Department of Health Care Services (DHCS) to implement payment reductions up to ten percent to most categories of services in the Medi-Cal program, including pharmacy. DHCS received federal approval for the implementation of ten percent pharmacy payment reductions, effective June 1, 2011.
On January 30, 2014, DHCS received notification that the Centers for Medicare and Medicaid Services (CMS) approved State Plan Amendment(SPA) 12-014. This SPA approves DHCS’ criteria and requirements for exempting specific drug products and/or categories of drugs, or specific pharmacy providers from the AB 97 related ten percent payment reductions and provides authority to implement the exemptions accordingly. The CMS approval letter for this SPA as well as information on all other DHCS SPAs is posted on the website.
Trang này cung cấp thông tin và cập nhật cho các bên liên quan về việc thực hiện giảm 10% phí thuốc, quy trình yêu cầu miễn trừ cũng như các cập nhật khác về việc giảm 10% và/hoặc miễn trừ.
Báo cáo
List of AB 97 Exempted Drugs with NDCs as of 04-26-17 (.xls)
Phải có MS Excel hoặc trình xem Excel để xem danh sách.
Therapeutic Drug Categories Subject to AB 97 Exemption (PDF)