(1) Consistent with the provisions of section 25.5-4-401 (1), and consistent with subsections (2) and (3) of this section, and subject to available appropriations, no provider of pharmaceutical services who meets the conditions imposed by this article and articles 4 and 6 of this title and who complies with the terms and conditions established by the state department and contracting health maintenance organizations and prepaid health plans shall be excluded from contracting for the provision of pharmaceutical services to recipients authorized in this article and articles 4 and 6 of this title.
This provision shall not apply to a health maintenance organization or prepaid healthplan that enrolls less than forty percent of all the resident medicaid recipients in any county with over one thousand medicaid recipients.
The state board shall establish specifications in rules in order to provide criteria tohealth maintenance organizations and prepaid health plans which ensure the accessibility and quality of service to clients and the terms and conditions for pharmaceutical contracts.
Source: L. 2006: Entire article added with relocations, p. 1905, § 7, effective July 1.
Editor's note: This section is similar to former § 26-4-407 as it existed prior to 2006.