Policy Development

Draft Policy Review Status

VDP develops new policies to improve access to the Medicaid and CHIP drug program and implements new laws, regulations, and other requirements. VDP seeks feedback from stakeholders, including pharmacies, prescribers, other providers, manufacturers, program clients, and the public, regarding these draft policies. The policies on this page are only drafts and are not considered final. To submit comments on a draft policy, submit the Draft Policy Comment Submission (HHS Form 1342). VDP considers each comment and question in developing the final policy, and we will post our responses to comments and questions.

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TopicPublish dateDue date 
Revised temporary non-preferred status to new drugs (HB 3286, 88th Legislature)Oct. 9, 2024Oct. 25, 2024
Adult Vaccines As A Pharmacy BenefitJune 14, 2024July 1, 2024
Managed care pharmacy network adequacy changesMay 14, 2024May 31, 2024
Uniform 90-day supply of maintenance medicationsJan. 24, 2024Feb. 16, 2024
Temporary non-preferred status to new drugs (HB 3286, 88th Legislature)Jan. 9, 2024Feb. 7, 2024

Policy Implementation Status

Once draft policies become final, VDP will implement the policy by a specific date. VDP will keep stakeholders and the public informed on the status of implementing these policies.

TopicStatusSourceImplementation Date
Managed care pharmacy network adequacy changesReviewing draft policyUniform Managed Care ManualTBD
Uniform 90-day supply of maintenance medicationsReviewing draft policyUniform Managed Care ManualTBD
Temporary non-preferred status to new drugs (HB 3286, 88th Legislature)Finalizing draft policy before submitting change to CMSTBDTBD
Health benefit plan coverage of prescription contraceptive drugs (HB 916, 88th Legislature)Requirements finalizedPharmacy Provider Procedure ManualJan. 1, 2024