Preferred Drug List (PDL) and Pharmacy Quarterly Update
Mar 7, 2024 - Effective April 1, 2024, the Alabama Medicaid Agency (Medicaid) will:
1. Continue to monitor the stimulant shortage affecting ADHD medications. Should you need assistance, please contact Kepro at the number below for alternative prescribing and dispensing options.
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Opioid Cumulative Daily Morphine Milligram Equivalents (MME) Limit – MME Decrease
Mar 7, 2024 - Effective April 1, 2024, the Alabama Medicaid Agency (Medicaid) will implement hard edits on cumulative daily MME claims exceeding 120 MME/day. A phase-in period for claims exceeding 90 MME/day, but less than 120 MME/day, will also be implemented.
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Opioid Cumulative Daily Morphine Milligram Equivalents (MME) Limit – MME Decrease
Mar 4, 2024 - Effective April 1, 2024, the Alabama Medicaid Agency (Medicaid) will implement hard edits on cumulative daily MME claims exceeding 120 MME/day. A phase-in period for claims exceeding 90 MME/day, but less than 120 MME/day, will also be implemented.
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Change to Behavioral Health Covered Services Procedure Codes
Feb 20, 2024 - Effective January 1, 2024, Licensed Marriage and Family Therapists (LMFT) enrolled in Alabama Medicaid may provide a diagnosis for recipients under the age of 21 referred as a result of a valid, completed EPSDT screening from the recipient’s primary physician.
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