April 29, 2016—States must require Medicaid managed care organizations to establish procedures to exclude utilization data for drugs subject to 340B drug discounts from the utilization reports submitted to states for purposes of collecting Medicaid drug rebates, the Centers for Medicare & Medicaid Services says in a new final regulation. States also can opt instead to require covered entities to submit 340B claims data directly to the state or its contractors so the claims can be scrubbed from rebate submissions, CMS said.
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