2022 Session

Budget Amendments - HB30 (Member Request)

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Chief Patron: Hodges
Medicaid Pharmacy Provider Billing (language only)

Item 304 #20h

Item 304 #20h

Health and Human Resources
Department of Medical Assistance Services


Page 340, after line 10, insert:

"PPPP. As a condition of this appropriation, the Department of Medical Assistance Services shall, no later than September 30, 2022, submit a State Plan Amendment pursuant to Title XIX of the Social Security Act so that pharmacists that are prescribing, initiating treatment or providing other professional services rendered within their scope of practice pursuant to VA Code § 54.1- 3303 and § 54.1-3303.l , may bill the Department for Medical Assistance Services for rendering such services."


(This amendment adds language requiring the Department of Medical Assistance Services amend the state plan so that pharmacists can bill Medicaid for services rendered. This amendment does not change which services Medicaid will reimburse, but it does allow people access to those same services at a local pharmacy. It adds pharmacists to the list of healthcare professionals who can be paid for rendering these services. All adjoining states already include this amendment as it serves to improve access and decreases cost of care.)