State State State Rule: SPA/ Systems Legislative Proposed Change: Policy Savings Savings Savings Implementation Required; Waiver Changes Approval Tribal Member Provider Public Notice Date Mid-term Strategy Section SFY SFY SFY Type Required Needed Required 2013 2014 2015 Yes SPA Pharmacy Competitive bid for Yes; Section and specialty pharmacy - $0.39M $0.79M 1/1/14 Routine Yes No Yes Yes Yes No 80, RxS 1115 Technical Waiver Increase generic dispensing Yes; Section rate by 1%, Reduce use of - $1.01M $1.35M 3/1/13 Routine No Yes No Yes Yes Yes No 80, RxS Technical specialty drugs Program Develop operational policy Integrity and procedure to handle day to day Medicaid discretionary functions and Internal review of data collected Utilize CMS’s best practice - $1.83M $2.44M 10/1/13 No No No No No No Yes No annual summary report Develop policy/procedure and mechanisms for reporting to the Medicaid and CHIP Payment and Access Commission $3.23M $4.58M Total savings for Mid-term strategies - State State State Proposed Change : Rule: SPA/ Systems Legislative Policy Savings Savings Savings Implementation Additional Short-term Required; Waiver Changes Approval Tribal Member Provider Public Notice Section SFY SFY SFY Date Strategies Type Required Needed Required 2013 2014 2015 Increase Restore smoking cessation 7/1/13 - benefits benefits
Proposed Change: Mid-term Strategy Policy Section State Savings SFY 2013 State Savings SFY 2014 State Savings SFY 2015 Implementation Date Rule: Required; Type SPA/ Waiver Required Systems Changes Needed Legislative Approval Required Tribal Member Provider Public Notice Pharmacy Competitive bid for specialty pharmacy Section 80, RxS - $0.39M $0.79M 1/1/14 Yes; Routine Technical Yes SPA and 1115 Waiver Yes No Yes Yes Yes No Increase generic dispensing rate by 1%, Reduce use of specialty drugs Section 80, RxS - $1.01M $1.35M 3/1/13 Yes; Routine Technical No Yes No Yes Yes Yes No Program Integrity Develop operational policy and procedure to handle day to day Medicaid discretionary functions and Internal review of data collected Utilize CMS’s best practice annual summary report Develop policy/procedure and mechanisms for reporting to the Medicaid and CHIP Payment and Access Commission - $1.83M $2.44M 10/1/13 No No No No No No Yes No Total savings for Mid-term strategies - $3.23M $4.58M Proposed Change : Additional Short-term Strategies Policy Section State Savings SFY 2013 State Savings SFY 2014 State Savings SFY 2015 Implementation Date Rule: Required; Type SPA/ Waiver Required Systems Changes Needed Legislative Approval Required Tribal Member Provider Public Notice Increase benefits Restore smoking cessation benefits - 7/1/13