Colorado approves rules to implement provider status

NCPA January 24, 2022

The Colorado Medical Services Board approved emergency rules that revise their Medicaid program for pharmacists to be eligible to receive reimbursement for services within their scope of practice. The approval comes after the passage of HB 21-1275, which requires Medicaid to reimburse pharmacists for delivery of medically necessary services. The rules include permitting pharmacists to dispense, administer, and be reimbursed for long-acting injectables for both mental illness and substance use disorders even if the product is given by a physician’s office. There are plans by the Colorado Pharmacists Society and the state’s Department of Health Care Policy and Financing to hold a town hall in February to assist pharmacists in implementing the new billing and payment eligibility.