- (1) A provider-administered drug is an outpatient drug, other than a vaccine, that is administered by a health care provider in a physician's office or other outpatient clinical setting.
- (2) Medicaid may only reimburse for a provider-administered drug if the drug qualifies as a covered outpatient drug in accordance with 42 U.S.C 1396r-8.
(3) Selected provider-administered or provider-observed drugs must be dispensed directly to the provider or provider's staff. These include the following:
- (a) long-acting injectable antipsychotics; and
- (b) long-acting injectable drugs for the treatment of opioid use disorders.
KEY: Medicaid
Date of Last Change: January 20, 2026
Notice of Continuation: March 11, 2022
Authorizing, and Implemented or Interpreted Law: 26B-1-213; 26B-3-108