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May 17, 2005

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Rick Stevens

Thanks John.

Did anyone else familiar with the MMA / Dual Eligibles Pharmacy issue notice the similarity of the NYS chart and the MMA 'clawback' formula ?

Looks like NYS just adopted the clawback methodology and applied it to the counties as did CMS to the states. And now the states are sending checks to the Feds for the first time.

However -- everyone should know that the clawback formula was designed to ensure the Feds got checks while the states got no savings so NYS counties should be forewarned...

R-

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