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CMS Guidance To States & Medicaid MCOs Recommends Tracking Opioid Use & Setting Prescription Limits

News | October 7, 2019

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On August 5, 2019, the Centers for Medicare & Medicaid Services (CMS) issued guidance to state Medicaid fee-for-service (FFS) programs and Medicaid managed care organizations (MCOs) on using claims review edits to track opioid use and set prescription limits. The guidance is intended to help states implement new Medicaid Drug Utilization Review (DUR) provisions included…

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