Priority Health is making changes to their 340B program based on your feedback. PH will now review 340B claims post-payment, which means that they will review paid claims quarterly.
What can facilities expect?
The first post-payment review will begin in December 2019 for providers enrolled in the 340B program. We may contact facilities for a list of drugs purchased through the 340B program or for specific exclusion criteria.
Does the 340B program apply to Medicaid claims?
Yes, Medicaid claims are subject to the same rules as Medicare for 340B services. To learn more about Medicaid rules, see page 7 of the Michigan Department of Health & Human Service Bulletin.
We’re here to help
If you have questions, contact the Provider Helpline at 800.942.4765.