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HHS/CMS RIN: 0938-AT82 Publication ID: Spring 2020 
Title: Establishing Minimum Standards in Medicaid State Drug Utilization Review (DUR) and Supporting Value Based Payments (VBP) for Drugs Covered in Medicaid (CMS-2482) 
Abstract:

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).

 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: No  Unfunded Mandates: No 
EO 13771 Designation: Other 
CFR Citation: 42 CFR 433    42 CFR 438    42 CFR 447    42 CFR 456   
Legal Authority: 42 U.S.C. 1302 and 1396r-8   
Legal Deadline:  None
Timetable:
Action Date FR Cite
NPRM  06/00/2020 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: Federal, State 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Wendy Tuttle
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
S1-01-16, Center for Medicaid and CHIP Services, MS: S2-14-26, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-8690
Email: wendy.tuttle@cms.hhs.gov