Commonwealth of Massachusetts
Executive Office of Health and Human Services
Division of Medical Assistance
600 Washington Street
Boston, MA  02111
www.mass.gov/dma	
	MassHealth
	Pharmacy Bulletin 70
	October 2002 

	TO:	Pharmacies Participating in MassHealth

	FROM:	Wendy E. Warring, Commissioner

	RE:	Usual and Customary Charge

Revised Definition	On August 3, 2002, The Division of Health Care Finance and Policy eliminated the following sentence from its definition of “Usual and Customary Charge” at 114.3 CMR 31.02:  “If a provider can demonstrate to the appropriate governmental agency that a particular contract represents less than 1% of its total prescription revenue, the agency may eliminate that contract from consideration in determining the lowest cost.”
 
	Effective August 3, 2002, MassHealth pharmacy providers may no longer exclude such contracts in the calculation of its “Usual and Customary Charge” as defined in the Division’s regulations at 130 CMR 450.402.

Questions	If you have questions about this bulletin, call the ACS Helpdesk at 1‑866‑246-8503.