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DOH Medicaid Update Website
Provides up-to-date changes that may affect your participation in the Medicaid Program.
 
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This information is not part of your provider manual, however, it may be useful information and is placed here for your convenience.
 
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Provider Manuals > Clinic


Clinic Manual


Manual Contents

Information for All Providers
Policy Guidelines
Billing Guidelines
Clinic Billing Guidelines
General Remittance Guidelines
EPSDT/CTHP Manual for Child Health Plus A (Medicaid)


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Formulary File

Medicaid Pharmacy List of Reimbursable Drugs (Formulary File)

As a reference tool for pharmacies and prescribers, the Formulary File contains prescription and over the counter drugs, as well as glucometer and home blood glucose test strip products, covered through the Pharmacy benefit. For billing and reimbursement of practitioner administered drugs, refer your Provider Manual Procedure Code and Fee Schedule sections for Drugs, and Provider Communications, listed above.

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