States Take Varied Approaches to Rx Benefits in Medicaid

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.

Jinghong Chen Reporter

Jinghong produces infographics and data stories on health insurance and specialty pharmacy for AIS Health. She graduated from Missouri School of Journalism with a focus on data journalism and international reporting. Before joining AIS in 2018, she worked at WBEZ, Al Jazeera English and The New York Times Chinese.

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