CMS TransmittalMedicaid

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

FR-2024-21254

Document details

Document type
CMS Transmittal
Issuing body
Centers for Medicare & Medicaid Services
Document ID
FR-2024-21254
Published
June 5, 2026
Effective date
November 19, 2024
MAC region
National

Summary

The new rule under the Medicaid Drug Rebate Program will significantly impact billing and reimbursement processes by ensuring stricter compliance with drug classification and pricing integrity. This m

Updated Medicaid Drug Rebate Program rules impact billing practices.

Affected specialty

Medicaid alerts →

Source document

https://www.federalregister.gov/documents/2024/09/26/2024-21254/medicaid-program-misclassification-of-drugs-program-administration-and-program-integrity-updates

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