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PT 11-20
O® maryland
DEPARTMENT OF HEALTH
Larry Hogan, Governor - Boyd k: Rutherford, Lt. Governor + Robert R. Neall, Secretary
MARYLAND MEDICAL ASSISTANCE PROGRAM Hospital Transmittal No. 270 Managed Care Organization Transmittal No. 135 Pharmacy Transmittal No. 208 Physician Transmittal No. 146 Nurse Practitioner Transmittal No. 24 Physician Assistant Transmittal No. 4 Federally Qualified Health Centers Transmittal No. 15 Local Health Departments Transmittal No. 10
October 9, 2019 To: Hospitals Managed Care Organizations Pharmacies Physicians
Nurse Practitioners
Physician Assistants
Federally Qualified Health Centers Local Health Departments
From: Athos Alexandrou, Director > Office of Pharmacy Services ~
Jill Spector, Director Ppectty Medical Benefits Maffagemen Re: Carve-In of the HIV/AIDS Medications Effective January 1, 2020
Note: Please ensure that appropriate staff members in your organization are informed of the contents of this transmittal.
Effective January 1, 2020, MCOs will be responsible for processing and paying all claims for HIV/AIDS medications for their members. This change will affect all of the medications that are under American Hospital Formulary Service (AHFS) Classification 8:18.08 (Antiretrovirals).
Please note that from January 1, 2020 through June 30, 2020 there will be a “soothing period”
during which the MCOs will continue their members’ existing antiretroviral therapy under Medicaid Fee-for-service (FFS) without changes. New patients placed on antiretroviral therapy
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