Current through P.L. 171-2024
Section 12-15-35.5-7.5 - Reimbursement for methadone when prescribed for pain; requirements(a) The office may reimburse under Medicaid for methadone if the drug was prescribed for the treatment of pain or pain management only as follows:(1) If the daily dosage is not more than sixty (60) milligrams.(2) If the daily dosage is more than sixty (60) milligrams, only if:(A) prior authorization is obtained; and(B) a determination of medical necessity has been shown by the provider.(b) A managed care organization may reimburse under Medicaid for methadone if the drug is prescribed for the treatment of pain or pain management only as follows: (1) If the daily dosage is not more than sixty (60) milligrams.(2) If the daily dosage is more than sixty (60) milligrams, only if: (A) prior authorization is obtained; and(B) a determination of medical necessity has been shown.Added by P.L. 209-2015, SEC. 12, eff. 7/1/2015.