205.5510 Definitions for KRS 205.5510 to 205.5520. As used in KRS 205.5510 to 205.5520, unless the context otherwise requires: (1) 'Department' means the Department for Medicaid Services; (2) 'Managed care organization' has the same meaning as in KRS 205.532; (3) 'Pharmacy benefit manager' has the same mea ning as in KRS 304.9 -020; (4) 'Spread pricing' means any technique by which a pharmacy benefit manager or other administrator of pharmacy benefits charges or claims an amount from an insurer or managed care organization for pharmacy or pharmacist services, including payment for a prescription drug, that is different than the amount the pharmacy benefit manager or other administrator pays to the pharmacy or pharmacist that provided the services; and (5) 'State pharmacy benefit manager' means the pharmacy ben efit manager contracted by the department, pursuant to KRS 205.5512, to administer pharmacy benefits for all Medicaid recipients enrolled in a managed care organization in the Commonwealth. Effective: March 27, 2020 History: Created 2020 Ky. Acts ch. 70, s ec. 1, effective March 27, 2020.
Kentucky Legal Code