Reimbursement for methadone when prescribed for pain;

requirements Sec. 7.5. (a) The office may reimburse under Medicaid for methadone if the drug was prescribed for the treatment of pain or pain management only as follows: (1) If the daily dosage is not more than sixty (60) milligrams. (2) If the daily dosage is more than sixty (60) milligrams, only if: (A) prior authorization is obtained; and (B) a determination of medical necessity has been shown by the provider. (b) A managed care organization may reimburse under Medicaid for methadone if the drug is prescribed for the treatment of pain or pain management only as follows: (1) If the daily dosage is not more than sixty (60) milligrams. (2) If the daily dosage is more than sixty (60) milligrams, only if: (A) prior authorization is obtained; and (B) a determination of medical necessity has been shown. As added by P.L.209-2015, SEC.12.