A revised Rural Area Flexibility Analysis is not required because the changes made to the last published rule do not necessitate revision to the previously published document. The changes to the text are not substantial, do not have any impact on rural areas and therefore do not change any statements in the document. Specifically the changes: 1) update the publisher of AWP; 2) remove a sentence that may have led to unnecessary bill disputes; 3) change the one filing requirement from a monthly update of any material changes to a quarterly update of any unnecessary changes; 4) clarify procedures for identifying repackaged medications; and, 5) clarifies that the self-insured employer or insurance carrier shall be responsible to notification that more information is required on a pharmacy bill.
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