When do Medi-Cal providers have to comply with changes in the statute?
Compliance will not be required until October 1, 2009, unless DHCS issues a notice that extends the implementation date. • Q: Our facility currently is not enrolled in the 340B program. How do we enroll? A: Eligible entities can find information on the 340B program at the OPA Web site. • Q: Our facility does not bill drugs on a fee-for-service basis, but receives a bundled payment. Are we required to use 340B program drugs? A: Covered entities do not have to dispense 340B program drugs for which a payment is made to a covered entity as part of a bundled, composite or all-inclusive rate. Reimbursement will be based on applicable rates for the services rendered. • Q: Does this change apply to both Medi-Cal fee-for-service and Medi-Cal Managed Care? A: The requirement to dispense 340B program drugs applies to the Medi-Cal fee-for-service program and rebate-eligible County Organized Health System (COHS) plans. Reimbursement is based on the applicable contract rates with the individual plan
Related Questions
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- When do Medi-Cal providers have to comply with the change in the statute?