Stop state “carve-outs” that threaten the 340B program.
Some states have contemplated transferring their Medicaid managed care prescription drug benefits to Medicaid fee for service (FFS). Such policy changes can be devastating for covered entities participating in the 340B Drug Pricing Program. Under Medicaid FFS, 340B providers must bill at acquisition cost for the drug. Under Medicaid managed care, they can bill plans for 340B-purchased drugs at higher negotiated rates. Ryan White clinics use these resources to serve more patients and provide comprehensive models of healthcare and social services. The move from Medicaid managed care to FFS would greatly reduce or eliminate our ability to provides services including substance use and mental health services, housing, transportation, nutrition, prescription adherence, harm reduction services, STD testing and treatment, food pantries, care coordination and other wrap-around services patients may need and that most payors do not cover. The 340B program enables this comprehensive care model so that our clinics can continue to fight to end the HIV epidemic and also to fight the COVID pandemic.
JOIN US IN THIS FIGHT TO PREVENT STATES FROM UNDERMINING THE 340B BENEFIT.