O.C.G.A.
O.C.G.A.

O.C.G.A. § 49-4-152.6 (2019)

Medicaid coverage for mood disorders prescriptions

✓ O.C.G.A.: 2019 edition (Public.Resource.Org Release 73)
Code text and O.C.G.A. statutory annotations on this page reflect the 2019 Official Code of Georgia Annotated (Public.Resource.Org Release 73, 2019-08-21; public domain per Georgia v. Public.Resource.Org, 2020). The Syfert case-law annotations in Notes of Decisions, below, are current.
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(a) The department shall provide Medicaid coverage for any prescription drug prescribed to an adult patient and determined by a duly licensed practitioner in this state to be medically necessary for the treatment and prevention of mood disorders with psychotic symptoms, including, but not limited to, bipolar disorders, schizophrenia and schizotypal, or delusion disorders if:

(1) During the preceding year, the patient was prescribed and unsuccessfully treated with a preferred or generic drug; or

(2) The patient has previously been prescribed and obtained prior approval for the nonpreferred prescribed drug.

(b) If necessary to implement the provisions of this Code section, the department shall submit a Medicaid state plan amendment or waiver request to the United States Department of Health and Human Services.

History

Code 1981, § 49-4-152.6, enacted by Ga. L. 2022, p. 26, § 6-5/HB 1013. Effective date. This Code section became effective July 1, 2022.

Annotations

Law reviews. For article, “HB 1013: Georgia Mental Health Parity Act,” see 39 Ga. St. U.L. Rev. 145 (2022).