Wiki reporting drug wastage to Medicaid

Misty Dawn

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Many of the Medicaid health plans do not have a specific policy regarding reporting drug wastage on claims. Would it then default to CMS policy if they do not have one in place? Is it ok to report both the amount given and drug wastage on one line to Medicaid health plans? CMS states that it should be reported separately on two line items with JW modifier on the drug wastage but I am being told that medicaid does not have to follow the CMS policy on drug wastage? Which is confusing to me because it is the Center of Medicare and Medicaid Services and I have always been told if the state/jurisdiction does not have a separate policy it defaults to CMS policy. Really hoping that there is a Medicaid expert out here that can please help me because I am so lost :)


Thank you
 
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