Mississippi SB2576 revises provisions related to pharmacy benefit managers, including prompt pay requirements, administrative appeals, and reporting.
Mississippi SB2576 amends the Pharmacy Benefit Prompt Pay Act to revise provisions related to pharmacy benefit managers. It mandates that pharmacy benefit managers pay clean claims within seven days for electronic submissions and 35 days for paper submissions. The bill requires pharmacy benefit managers to update reference prices for prescription drugs every three business days. It also mandates that pharmacy benefit managers provide a reasonable administrative appeal procedure for pharmacies to challenge reimbursements.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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