Estimated Acquisition Cost (EAC)

The Division of Health Care Financing (DHCF) is submitting a change to the Medicaid State Plan (SPA 09-001-UT Estimated Acquisition Cost (EAC)). The EAC basis of reimbursement for prescription drugs is being restored to Average Wholesale Price (AWP) minus 15 percent from AWP minus 17 percent, effective 07/01/ 2009.

DHCF estimates that this proposed change will not impact projected annual expenditures as it reverses a temporary two percent decrease in EAC implemented on 03/01/2009.

This proposed change is pending Centers for Medicare and Medicaid Services approval.

A copy of the change may be obtained from Craig Devashrayee (801-538-6641), or by writing the Technical Writing Unit, Utah Department of Health, P.O. Box 143102, Salt Lake City, UT 84114-3102. Comments are welcome at the same address. A copy of the change is also available at local county health department offices.