Medicaid Demo’s Formularies Include Protections For HIV, Behavioral Health Drugs

Healthy Adult Opportunity initiative (don’t call it block grants) adopts some, but not all, of Medicare Part D’s protected classes, allowing states to exclude some drugs from coverage in the expansion Medicaid population to drive additional savings.

Seema Verma speaks at HHS Medicaid HAO reform briefing on 30 January 2020
CMS Administrator Seema Verma outlines the Medicaid HAO initiative during at briefing at HHS on 30 January 2020. • Source: Screenshot of HHS webcast

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