California Welfare and Institutions Code

§ 14132.969

WIC § 14132.969 Effective Jul 27, 2021Div. 9 · Part 3 · Ch. 7 · Art. 4

Statute text

(a)Subject to an annual appropriation for this express purpose, the department shall implement a medication therapy management (MTM) reimbursement methodology for covered pharmacist services related to the dispensing of qualified specialty drugs by an eligible pharmacy contracted with the department pursuant to subdivision (c). MTM reimbursement pursuant to this section is intended to supplement Medi-Cal payments made to eligible pharmacies for MTM pharmacist services provided in conjunction with certain specialty drug therapy categories, as identified by the department pursuant to paragraph (2) of subdivision (b).

(b)In implementing this section, the department shall do all of the following:

(1)Establish and maintain protocols and utilization controls for covered MTM pharmacist services.

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Legislative history

Added by Stats. 2021, Ch. 143, Sec. 395. (AB 133) Effective July 27, 2021.