GroundRules
45 CFR 162.1902: Standard for Medicaid pharmacy subrogation transaction.
Where this section sits in the code
- Title 45—Public Welfare
- SUBTITLE A—Department of Health and Human Services
- SUBCHAPTER C—ADMINISTRATIVE DATA STANDARDS AND RELATED REQUIREMENTS
- PART 162—ADMINISTRATIVE REQUIREMENTS
- Subpart S—Medicaid Pharmacy Subrogation
The Secretary adopts the following standards for the Medicaid pharmacy subrogation transaction:
(a) For the period from January 1, 2012 through August 14, 2027—The NCPDP Batch Standard Medicaid Subrogation Implementation Guide, Version 3.0, July 2007 (incorporated by reference at § 162.920).
(b) For the period from August 14, 2027 through April 14, 2028—
(1) The standards identified in paragraph (a) of this section; and
(2) The NCPDP Subrogation Implementation Guide for Batch Standard, Version 10, September 2019 (incorporated by reference at § 162.920).
(c) For the period on and after April 14, 2028, the standard identified in paragraph (b) of this section.
Collected 2026-08-27T02:26:21Z. Source file · JSON