Medicaid reimbursement for prescribed drugs


The South Carolina Department of Health and Human Services (SCDHHS), pursuant to the requirement of 42 CFR 447.205, gives notice of the following action regarding Medicaid reimbursement for prescribed drugs.

With approval of the Centers for Medicare and Medicaid (CMS) of a submitted state plan amendment, effective October 1, 2011 South Carolina Medicaid will include Warehouse Acquisition Cost (WAC) plus 0.8% in our Basis for Payment, "lesser than logic" in determining the reimbursement for Medicaid prescriptions. This change is not expected to result in an increase or decrease in annual aggregate expenses.

Copies of this notice are available at each County Department of Health and Human Services Office and at for public review. Additional information concerning this proposed action is available upon request at the address cited below.

Written comments may be submitted to or by mail to the Department of Health and Human Services, Division of Physician, Pharmacy and Durable Medical Equipment Services, 1801 Main Street, Columbia, South Carolina 29201. Written comments must be received no later than 5:00 P.M, September 4, 2011. Comments may be reviewed by the public at the same location, Monday through Friday between the hours of 9:00 A.M. and 5:00 P.M.

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