MedicaidCoverageMedium impact
Amendments 10.09.03
Maryland Medicaid·MD · Pharmacy, Psychiatry·Pharmacy
Effective date
Oct 19, 1998
We identified it
Jun 20, 2026
Summary
Maryland Medicaid eliminated copays for waiver-eligible recipients on carve-out drugs (specialty mental health and AIDS medications), revised pharmacy reimbursement calculation methods, increased dispensing fees for nursing home prescriptions, and established new billing requirements for nursing home prescriptions while allowing faxed prescriptions.
Action Required
By October 19, 1998: Billing team must update systems to eliminate copays for waiver-eligible recipients on specialty mental health and AIDS carve-out drugs. Update pharmacy billing procedures to reflect new estimated acquisition cost calculations and increased nursing home dispensing fees. Implement new billing requirements for nursing home prescriptions and enable processing of faxed prescriptions in the billing system.