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SPECIAL NOTICE

This filing was published in the 06/01/2009, issue, Vol. 2009, No. 11, of the Utah State Bulletin.

Health, Health Care Financing, Coverage and Reimbursement Policy

Estimated Acquisition Cost (EAC)

The Division of Health Care Financing (DHCF) is submitting a change to the Medicaid State Plan (SPA 09-001-UT Estimated Acquisition Cost (EAC)). The EAC basis of reimbursement for prescription drugs is being restored to Average Wholesale Price (AWP) minus 15 percent from AWP minus 17 percent, effective 07/01/ 2009.

DHCF estimates that this proposed change will not impact projected annual expenditures as it reverses a temporary two percent decrease in EAC implemented on 03/01/2009.

This proposed change is pending Centers for Medicare and Medicaid Services approval.

A copy of the change may be obtained from Craig Devashrayee (801-538-6641), or by writing the Technical Writing Unit, Utah Department of Health, P.O. Box 143102, Salt Lake City, UT 84114-3102. Comments are welcome at the same address. A copy of the change is also available at local county health department offices.

ADDITIONAL INFORMATION

For questions regarding this notice, please contact Craig Devashrayee at the above address, by phone at 801-538-6641, by FAX at 801-538-6099, or by Internet E-mail at cdevashrayee@utah.gov  For questions about the rulemaking process, please contact the Division of Administrative Rules (801-538-3764).

Last modified:  07/14/2009 10:07 PM