2025-02511RuleSignificant

HIPAA Pharmacy Rules Delayed to Give More Prep Time

Published Date: 2/11/2025

Rule

Summary

The government is pushing back the start date for new pharmacy rules until April 14, 2025. These rules update how pharmacies handle electronic health claims, check insurance eligibility, get referrals, and coordinate benefits, plus a change to Medicaid pharmacy billing. Pharmacies, insurers, and Medicaid programs will need to get ready for these changes, but now they have a bit more time to prepare.

No Economic Impacts Identified for this Document

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Key Dates

Published Date
Rule Effective
2/11/2025
4/14/2025

Department and Agencies

Department
Independent Agency
Agency
Health and Human Services Department
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