0938-AT82 202004 Unified Agenda of Federal Regulatory and Deregulatory Actions 0938 Centers for Medicare & Medicaid Services CMS 0900 Department of Health and Human Services HHS Establishing Minimum Standards in Medicaid State Drug Utilization Review (DUR) and Supporting Value Based Payments (VBP) for Drugs Covered in Medicaid (CMS-2482)

This proposed rule would require minimum standards in Medicaid State Drug Utilization Review (DUR) programs, in part to help increase oversight of opioid prescriptions/dispensing in Medicaid. The rule proposes changes to the Medicaid Drug Rebate Program (MDRP) regulations to support VBP arrangements between States and manufacturers. Additionally, CMS would take this opportunity to ensure that the MDRP regulations align with recent statutory changes and address policy areas that have developed since the publication of the Covered Outpatient Drug finalized on February 1, 2016 (81 FR 5170).

]]> Other Significant Previously Published in The Unified Agenda Proposed Rule Stage No No Other 42 CFR 433 42 CFR 438 42 CFR 447 42 CFR 456 42 U.S.C. 1302 and 1396r-8 No NPRM 06/00/2020 No Federal State No No No Wendy Tuttle Health Insurance Specialist 0938 Centers for Medicare & Medicaid Services CMS 410 786-8690 wendy.tuttle@cms.hhs.gov S1-01-16, Center for Medicaid and CHIP Services, MS: S2-14-26, 7500 Security Boulevard, Baltimore MD 21244