Pub. L. 110-275, tit. I, subtit. E, pt. I, sec. 172

SUBMISSION OF CLAIMS BY PHARMACIES LOCATED IN OR CONTRACTING WITH LONG-TERM CARE FACILITIES.

EnactedYear: 2008Length: 198 wordsOfficial source
SEC. 172. SUBMISSION OF CLAIMS BY PHARMACIES LOCATED IN OR CONTRACTING WITH LONG-TERM CARE FACILITIES.(a) Submission of Claims by Pharmacies Located in or Contracting With Long-Term Care Facilities.—(1) Submission of claims to prescription drug plans.—Section 1860D–12(b) of the Social Security Act (42 U.S.C. 1395w–112(b)), as amended by section 171(a), is amended by adding at the end the following new paragraph:“(5) Submission of claims by pharmacies located in or contracting with long-term care facilities.—Each contract entered into with a PDP sponsor under this part with respect to a prescription drug plan offered by such sponsor shall provide that a pharmacy located in, or having a contract with, a long-term care facility shall have not less than 30 days (but not more than 90 days) to submit claims to the sponsor for reimbursement under the plan.”.(2) Submission of claims to ma–pd plans.—Section 1857(f)(3) of the Social Security Act, as added by section 171(b), 122 STAT. 2581 is amended by adding at the end the following new subparagraph:“(B) Submission of claims by pharmacies located in or contracting with long-term care facilities.—Section 1860D–12(b)(5).”.(b) Effective Date.—The amendments made by this section shall apply to plan years beginning on or after January 1, 2010.
Pub. L. 110-275, tit. I, subtit. E, pt. I, sec. 172: SUBMISSION OF CLAIMS BY PHARMACIES LOCATED IN OR CONTRACTING WITH LONG-TERM CARE FACILITIES. | Justis AI