Florida H5301 amends Medicaid drug coverage, reimbursement, and management policies.

Florida H5301 revises Medicaid drug coverage guidelines, requiring a step-therapy prior authorization process for excluded medications. It mandates a preferred drug list, limiting use of non-listed drugs unless specific criteria are met. The bill establishes a drug benefit management program targeting high-prescription users and high spenders, managed by the Department of Children and Families. It also outlines reimbursement methodologies for Medicaid providers, including cost reporting and competitive bidding.

Florida H5301 amends Medicaid drug coverage, reimbursement, and management policies.

Florida H5301 revises Medicaid drug coverage guidelines, requiring a step-therapy prior authorization process for excluded medications. It mandates a preferred drug list, limiting use of non-listed drugs unless specific criteria are met. The bill establishes a drug benefit management program targeting high-prescription users and high spenders, managed by the Department of Children and Families. It also outlines reimbursement methodologies for Medicaid providers, including cost reporting and competitive bidding.