№ lp_1_2_43179
Provider guidance bulletin outlining policy updates, administrative procedures, and billing rules for MassHealth pharmacy services and accountable care arrangements effective January 1, 2024.
Publication number: 217
Publication date: December 15, 2023
Effective date: January 1, 2024
Jurisdiction: Massachusetts
Program: MassHealth
Subject: Pharmacy benefits management and billing
Document type: Provider bulletin
Issuing body: MassHealth
Health plans referenced: Accountable Care Organizations, Managed Care Organizations, PCC Plan, SCO Plan
Key topics: PBM changes, eligibility verification, emergency overrides, 340B drug policy
Referenced appendices: Appendix A, Appendix B, Appendix C
Regulatory scope: Pharmacy claims processing and plan payments
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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