D.C. Mun. Regs. tit. 29, r. 29-2700

Current through Register Vol. 71, No. 44, November 1, 2024

Rule 29-2700 - MEDICAID PHARMACY SERVICES GENERAL PROVISIONS

2700.1

The District of Columbia Medicaid Program shall provide reimbursement for covered outpatient drugs dispensed by a licensed provider within the scope of his or her license and practice in accordance with federal, District, and state law and rules and Section 1927 of the Social Security Act.[ 42 U.S.C. 1396r-8] .

2700.2

These rules shall govern the determination of reimbursement costs to pharmacies, including nursing home pharmacy providers, by the D.C. Medicaid Program and the methodology for determining prescription reimbursements for prescribed multiple source drugs and other drugs provided to eligible Medicaid recipients. These rules also set forth the requirements governing the pharmacy lock-in program and provider participation requirements.

D.C. Mun. Regs. tit. 29, r. 29-2700

Notice of Final Rulemaking published at 59 DCR 2298, 2299 (March 23, 2012)

Authority: The Director of the Department of Health Care Finance (DHCF), pursuant to the authority set forth in An Act to enable the District of Columbia to receive federal financial assistance under Title XIX of the Social Security Act for a medical assistance program, and for other purposes, approved December 27, 1967 (81 Stat. 774; D.C. Official Code § 1-307.02 (2006 Repl. & 2011 Supp.)) and section 6(6) of the Department of Health Care Finance Establishment Act of 2007, effective February 27, 2008 (D.C. Law 17-109; D.C. Official Code § 7-771.05(6) (2008 Repl.)).