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PARRIS N. GLENDENING, Governor
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Ch. 464
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Article - Health - General
15-124.
(b) (1) (i) Reimbursement under the Maryland Pharmacy Assistance
Program [shall] MAY be limited to maintenance drugs, anti-infectives, and AZT as
specified in regulations to be issued by the Secretary after consultation with the
Maryland Pharmacists Association.
(ii) 1. For any drug on the Program's interchangeable drug list,
the Program shall reimburse providers in an amount not more than it would
reimburse for the drug's generic equivalent, unless the individual's physician states, in
his or her own handwriting, on the face of the prescription, that a specific brand is
"medically necessary" for the particular patient.
2. If an appropriate generic drug is not generally available,
the Department may waive the reimbursement requirement under sub-subparagraph
1 of this subparagraph.
Chapter 702 of the Acts of 2001
SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That:
(a) The Department of Health and Mental Hygiene shall[:
establish a process to annually set the fee-for-service reimbursement
rates for the Maryland Medical Assistance Program and the Maryland Children's
Health Program in a manner that ensures participation of providers[; and
(2) in developing the process required under item (1) of this subsection,
consider] AND THAT REFLECTS CONSIDERS:
[(i)] (1) [a reimbursement system that reflects] reimbursement
fee-for-service rates paid in the community as well as annual medical inflation; or
[(ii)] (2) the CURRENT Resource Based Relative Value Scale system
used in the federal Medicare program or THE American Dental Association CPT 3
CDT-3 Codes.
(b) On or before [September 1, 2001] SEPTEMBER 1 OF EACH YEAR, the
Department shall submit a report to the Governor and, in accordance with § 2-1246 of
the State Government Article, to the Senate Finance Committee, the Senate Budget
and Taxation Committee, the House Environmental Matters Committee, and the
House Appropriations Committee on:
(1) its progress in complying with subsection (a) of this section;
(2) an analysis of the fee-for-service reimbursement rates paid in other
states and how those rates compare with those in Maryland;
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