Beneficiary Protections and Medicaid Drug Coverage - Under Value Based Purchasing (VBP) and Other Innovative Payment Arrangements
The purpose of this Center for Medicaid and CHIP Services (CMCS) Informational Bulletin (CIB) is to
remind states and stakeholders of existing federal beneficiary protections that help ensure appropriate
beneficiary access to prescription medications, especially as state programs and stakeholders continue to
negotiate novel payment arrangements with drug manufacturers.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: July 21, 2022
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.