CMS TransmittalMedicaid

Federal Register Proposed Rule: Medicaid Program; Misclassification of Drugs, Program Administration and Program Integrity Updates Under the Medicaid Drug Rebate Program

FR-2023-10934

Document details

Document type
CMS Transmittal
Issuing body
Centers for Medicare & Medicaid Services
Document ID
FR-2023-10934
Published
June 5, 2026
Effective date
See source document
MAC region
National

Summary

The proposed rule aims to strengthen the Medicaid Drug Rebate Program by addressing drug misclassification and pricing data inaccuracies, which could lead to improved reimbursement accuracy and progra

New Medicaid rule targets drug misclassification and pricing integrity.

Affected specialty

Medicaid alerts →

Source document

https://www.federalregister.gov/documents/2023/05/26/2023-10934/medicaid-program-misclassification-of-drugs-program-administration-and-program-integrity-updates

CLV Intelligence summarizes publicly available federal publications. Not affiliated with or endorsed by any government agency.

Related alerts

4

Federal Register Final Rule: Medicaid Program; Community Engagement Requirement for Certain Individuals

Policy FR-C1-2026-11094 · Multi-specialty

High

View alert

Federal Register Notice: Medicare and Medicaid Programs: Application From the Accreditation Commission for Health Care, Inc. for Continued Approval of Its End-Stage Renal Disease (ESRD) Accreditation Program

Policy FR-2023-05761 · ESRD

High

The approval of the Accreditation Commission for Health Care, Inc. enhances the recognition and participation of ESRD facilities in Medicare and Medicaid programs, potentially impacting billing and re

View alert

Federal Register Final Rule: Medicare and Medicaid Programs; Repeal of Minimum Staffing Standards for Long-Term Care Facilities

Policy FR-2025-21792 · Skilled Nursing Facility

High

The repeal of minimum staffing standards for long-term care facilities may negatively impact reimbursement due to potential declines in quality of care, influencing claims and patient outcomes. This c

View alert

Federal Register Final Rule: Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting; Correction

Policy FR-2024-13795 · Skilled Nursing Facility

High

The correction of typographical and technical errors in the Minimum Staffing final rule is crucial for ensuring accurate implementation of minimum staffing standards in long-term care facilities. This

View alert