Office of the Secretary of Family and Social Services Docket 250430 Notice

in-20250820-IR-405250430ONA: OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES

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Summary

In accordance with public notice requirements established at 42 CFR 447.205, the Indiana Family and Social Services Administration (FSSA), Office of Medicaid Policy and Planning (OMPP) publishes this notice of proposed changes to the reimbursement methodology for the pharmacy dispensing fee. The public notice period is from August 20, 2025, through September 19, 2025. FSSA-OMPP is required by IC 12-15-31.1 to conduct a survey of pharmacy providers every two years to assess the appropriate level of dispensing fees to be paid to providers for prescribed drugs. The dispensing fee was evaluated based upon operational data, professional services data, overhead data, and profit data relating to the costs of pharmacy operation. FSSA – OMPP proposes to submit a State Plan Amendment (SPA) to lower the dispensing fee from $10.48 to $9.63. It is estimated that there will be cost savings associated with these changes. This SPA is effective March 1, 2026. A copy of this notice is now on file at the Indiana Government Center South, 402 West Washington Street, Room W451, Indianapolis, Indiana and is open for public inspection. Also, a copy of this notice is now available and may be inspected by contacting the local county Division of Family Resources office, except in Marion County, where public inspection may be made at the Indiana Government Center South, 402 West Washington Street, Room W374, Indianapolis, Indiana. There will be no public hearing. Written comments may be directed to...

The agency’s own summary, as published.

The rule, in full

319 words as published, August 20, 2025. View the original →

OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES Notice of Update to Pharmacy Dispensing Fees In accordance with public notice requirements established at 42 CFR 447.205, the Indiana Family and Social Services Administration (FSSA), Office of Medicaid Policy and Planning (OMPP) publishes this notice of proposed changes to the reimbursement methodology for the pharmacy dispensing fee. The public notice period is from August 20, 2025, through September 19, 2025. FSSA-OMPP is required by IC 12-15-31.1 to conduct a survey of pharmacy providers every two years to assess the appropriate level of dispensing fees to be paid to providers for prescribed drugs. The dispensing fee was evaluated based upon operational data, professional services data, overhead data, and profit data relating to the costs of pharmacy operation. FSSA – OMPP proposes to submit a State Plan Amendment (SPA) to lower the dispensing fee from $10.48 to $9.63. It is estimated that there will be cost savings associated with these changes. This SPA is effective March 1, 2026. A copy of this notice is now on file at the Indiana Government Center South, 402 West Washington Street, Room W451, Indianapolis, Indiana and is open for public inspection. Also, a copy of this notice is now available and may be inspected by contacting the local county Division of Family Resources office, except in Marion County, where public inspection may be made at the Indiana Government Center South, 402 West Washington Street, Room W374, Indianapolis, Indiana. There will be no public hearing. Written comments may be directed to FSSA, Office of Medicaid Policy and Planning, Attention: Brooke Cripe, 402 West Washington Street, Room W382, P.O. Box 7083, Indianapolis, IN 46207-7083 or by email to spacomment@fssa.in.gov. Correspondence should be identified in the following manner: COMMENT RE: PHARMACY DISPENSING FEE. Written comments will be made available for public inspection at the address herein of OMPP.