In accordance with public notice requirements established at 42 CFR §440.386, the Indiana Family and Social Services Administration (FSSA), Office of Medicaid Policy and Planning (OMPP) publishes this notice of proposed changes to the HIP Basic and Plus prescription drug benefit. The public notice period will run 9/27/2023 to 10/11/2023.

FSSA-OMPP proposes that alternative benefit plans follow a statewide uniform preferred drug list (SUPDL) for drugs listed in the classes on the fee-for-service (FFS) preferred drug list. Following a SUPDL, the state will amend its supplemental rebate agreements with drug manufacturers so that the state may collect supplemental rebates for utilization from both FFS and managed care outpatient drug claims. These changes were effective beginning July 1, 2023. There are no changes to cost-sharing requirements, and beneficiaries in these plans will continue to be exempt from copayments for preventive care in accordance with 45 CFR §147.130. This change will neither conflict with full access to early and periodic screening, diagnostic, and treatment services in accordance with 42 CFR §440.345, nor with compliance with the provisions of section 5006(e) of the American Recovery and Reinvestment Act of 2009.

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 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: Madison May-Gruthusen, 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: SINGLE PDL. Written comments will be made available for public inspection at the address herein of the OMPP.

Daniel Rusyniak, MD

Secretary

Family and Social Services Administration