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States Take Varied Approaches to Rx Benefits in Medicaid

February 22

NOTES: Nevada plans to carve out the prescription drug benefit effective in FY 2023, when MCO contracts are renewed. California and New York plan to carve out pharmacy benefits starting in April 2021. Utah did not respond to the survey. Michigan reported it carves out select oncology drugs but not the entire class.

SOURCES: 2019 KFF and Health Management Associates survey of Medicaid officials in 50 states and DC, Kaiser Family Foundation. Visit https://bit.ly/3sZGDtG. “State Medicaid Programs Respond to Meet COVID-19 Challenges: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2020 and 2021,” visit https://bit.ly/3t0HpXl.

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Spotlight on Market Access

Jinghong Chen Reporter

Jinghong has been producing infographics and data stories on employer-sponsored insurance, public health insurance programs and prescription drug coverage for AIS Health’s Health Plan Weekly and Radar on Drug Benefits since 2018. She also manages AIS Health’s annual executive compensation database for top insurers and Blue Cross and Blue Shield affiliates. Before joining AIS Health, she interned at WBEZ, Al Jazeera English and The New York Times Chinese. She graduated from Missouri School of Journalism with a focus on data journalism and international reporting.

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