Impacts of Changes to NCPDP Pharmacy Claims and Subrogation Standards on the Medicaid Enterprise

A new set of HIPAA standards for retail pharmacy claims processing and Medicaid subrogation was published on December 13, 2024. This briefing provides our state government clients with an overview of the impacts that these changes will have on State Medicaid Agency modernization projects and maintenance and operations of pharmacy benefits management solutions and connected Medicaid Enterprise System (MES) modules.

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