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10/03/2019

1936-Pharmacy - Medicaid Health Plan Pharmacy Drug Coverage Transition

The Department is accepting public comment on this proposal until November 4.

In connection with the Governor’s budget actions, the Michigan Department of Health & Human Services has published a proposed policy bulletin that would return all Medicaid outpatient pharmacy coverage and management to the department.  The policy summary states:  “The purpose of this bulletin is to inform providers that outpatient prescription drugs will no longer be covered as a part of the Medicaid Health Plan (MHP) benefit.  Effective December 1, 2019, all pharmacy drug coverage will be transitioned to Fee-for-Service Medicaid.”  The Department is accepting public comment on this proposal until November 4. 

The full text of the proposal, including information on how to submit public comment, is available through the link below.

The following proposed policy has been issued for public comment:

  • 1936-Pharmacy - Medicaid Health Plan Pharmacy Drug Coverage Transition.

Comments may be forwarded to the e-mail or address noted on the policy's transmittal sheet.

Proposed Medicaid policies may be accessed here on the MDHHS website.

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