MISSISSIPPI BILL SPEEDS UP PHARMACY REIMBURSEMENT

MAY 01, 2006

The passing of Mississippi House Bill 542 was met with praise from the National Community Pharmacists Association. The law includes provisions to guarantee prompt payment of health insurance claims to pharmacists by pharmacy benefit managers (PBMs). The legislation, which goes into effect on June 30, 2006, amends the Mississippi Pharmacy Practice Act. It will require that PBMs do the following:

  • File financial statements with the state insurance department
  • Use a nationally recognized reference in pricing calculations when reimbursing pharmacies and update that reference no less than every 3 business days
  • Pay clean claims that are filed electronically within 15 days (paper claims no later than 35 days)

The Board of Pharmacy will monitor PBMs for compliance with the law and has the power to subject them to administrative penalties for noncompliance.



SHARE THIS SHARE THIS
0
 

In Seniors: Consider CMV Serostatus
When Recommending Flu Vaccine

Older people who have cytomegalovirus seem to have less robust responses to the trivalent influenza vaccine than those who do not have CMV.


 

 

Conference Coverage
News from the year's biggest meetings


Pharmacist Education
Clinical features with downloadable PDFs


 

SIGN UP FOR THE PHARMACY TIMES NEWSLETTER
Personalize the information you receive by selecting targeted content and special offers.