340B Medicaid Profiles by State/Territory
Searchable state-by-state Medicaid 340B requirements
Searchable state-by-state Medicaid 340B requirements
Medicaid
This resource has been created by the 340B Prime Vendor Program to assist stakeholders by combining the most recently available 340B-specific Medicaid data with publicly available federal data. Please note that additional requirements or contractual obligations that may be in place from third-party payers are not included in this resource.
Upon selecting a state in the drop-down menu, the Medicaid State Technical, Rebate and Policy contacts and details on the state’s retail prescriptions, provider- or facility-administered drugs, contract pharmacies and Medicaid Managed Care profiles will populate below. Each field is linked to the sourced data where additional information can be found.
Please note: The data presented on this page are compiled from various sources; however, the information is not endorsed by HRSA and not dispositive with the 340B Drug Pricing Program. 340B stakeholders are ultimately responsible for 340B Program compliance and compliance with all applicable state and federal laws and regulations. Stakeholders are encouraged to contact the states to verify current policy/requirements.
State Medicaid agencies do not report 340B profiles to a central database. We appreciate assistance from the 340B community to report any inaccuracies or provide missing information. Please contact us via email or through Apexus Answers.
Technical contact
GAINWELL TECHNOLOGY
laurent ferrari
LAURENT.FERRARI@WISCONSIN.GOV313 blettner blvd.
madison, WI 53784
(608) 421-6455
Rebate contact
GAINWELL TECHNOLOGY
jen knetter
JENNIFER.KNETTER@WISCONSIN.GOV313 blettner blvd
madison, WI 53784
(608) 684-0420
Policy contact
WI DIVISION OF HEALTHCARE ACCESS
kim wohler
KIM.WOHLER@DHS.WISCONSIN.GOV1 west wilson street
madison, WI 53701-0309
(608) 267-7100
Medicaid State Details as of
Retail Pharmacy Transactions - Fee For Service (FFS)
Drug Cost (submissions)
Drug cost type when 340B drugs are dispensed.
Drug Cost (reimbursements)
Drug cost type state plans reimburse at for 340B dispenses.
Required Claim Identifiers
Claim identifiers required to indicate 340B drugs were dispensed.
Professional Dispensing Fee (PDF)
The current professional dispensing fee for FFS 340B claims. Note: some states have ranges based on different factors.
Provider or Facility Administered Transactions Fee For Service (FFS)
Drug Cost (submissions)
Drug cost type when 340B drugs are administered.
Drug Cost (reimbursements)
Drug cost type state plans reimburse at for 340B dispenses.
Required Claim Identifiers
Claim identifiers required to indicate 340B drugs were administered.
Contract Pharmacies*
* Despite Federal position on dispensing through CP arrangements
Medicaid Managed Care Organization (MCO) Information
State uses MCO plans?
Does the state use MCO(s) to manage Medicaid services?
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MMCO Plans/Vendors |
Pharmacy Benefit Managers (PBMs) |
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All 340B stakeholders have equal access to technical assistance by contacting the Apexus Answers call center. We provide HRSA-aligned answers ranging from basic to complex, via phone 888.340.BPVP (2787), live chat, and email. We are here to help you navigate the 340B Program. Apexus Answers, celebrating ten years of service and support.
FQHCs are not required to attest to their annual prescription volume and are automatically assigned a provider-specific professional dispensing fee reimbursement rate. Tribal FQHCs receive an interim professional dispensing fee reimbursement rate of $24.92, which is reconciled to approved federal encounter rates. Non-tribal FQHCs, also known as community health centers, receive an interim professional dispensing fee of $24.92 for SeniorCare members. For non-SeniorCare members, non-tribal FQHCs do not receive an interim professional dispensing fee because the professional dispensing fee is incorporated into the approved rate process.