MEDICAID-MCO RX PAYMENTS

Summary

The bill amends the Illinois Public Aid Code to require Medicaid managed care organizations to pay pharmacies (except critical access pharmacies) for dispensing fees and acquisition costs at amounts no lower than the fee‑for‑service rates. The requirement applies whether the MCO pays the pharmacy directly or works through a pharmacy benefit manager, and it covers all pharmacy services for Medicaid beneficiaries. This aims to ensure consistent reimbursement for pharmacies that serve Medicaid patients.

AI-generated summary — may be incomplete or inaccurate. Verify against the official bill text.

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