MedicaidAdministrativeMedium impact
Medicaid lifts prescription limits in response to State of Emergency
Mississippi Medicaid (DOM)·MS · Pharmacy·Pharmacy
We identified it
Jun 21, 2026
Summary
Medicaid has temporarily lifted prescription quantity limits during officially declared states of emergency. Pharmacy providers can now override the standard 2 brand/6 prescription limit and early refill restrictions by entering '13-Payor Recognized Emergency' in NCPDP Field '420-DK'.
Action Required
During officially declared emergencies: Pharmacy billing team must enter '13-Payor Recognized Emergency' in NCPDP Field '420-DK' when overriding prescription limits or early refill restrictions. Maintain documentation on file to justify early/excess fills for patients not in evacuation areas, as Medicaid may conduct post-emergency audits and recoup payments without proper documentation.