Changes to the State Maximum Allowable Costs (SMAC) list effective July 1, 2021

Washington State Health Care Authority sent this bulletin at 05/26/2021 04:38 AM PDT

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Changes to the State Maximum Allowable Costs (SMAC) list effective July 1, 2021

May 26, 2021

Dear Provider,

Washington Apple Health (Medicaid), administered by the Health Care Authority (agency), will implement changes to the State Maximum Allowable Costs (SMAC) list for the fee-for-service (FFS) Prescription Drug Program.

View MAC memo for rate changes effective July 1, 2021.

The full SMAC list can be found on the agency’s Provider billing guides and fee schedules website under the Prescription Drug Program and applies to claims billed FFS.

Thank you.

Medicaid Program
Health Care Authority

About the Health Care Authority (HCA)

The Washington State Health Care Authority (HCA) is committed to whole-person care, integrating physical health and behavioral health services for better results and healthier residents.

HCA purchases health care for more than 2.5 million Washington residents through Apple Health (Medicaid), the Public Employees Benefits Board (PEBB) Program, the School Employees Benefits Board (SEBB) Program, and the COFA Islander Health Care Program. As the largest health care purchaser in the state, we lead the effort to transform health care, helping ensure Washington residents have access to better health and better care at a lower cost.

Please do not reply directly to this message. For more information, visit the HCA website, where you'll also find contact information.

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