BH Service Needs for Children in Foster Care AHCCCS CMO Update Reaching across Arizona to provide comprehensive quality health care for those in need Pharmacy 2 Reaching across Arizona to provide comprehensive ID: 707508
Download Presentation The PPT/PDF document "1 Pharmacy ASD Advisory Committee" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
1
PharmacyASD Advisory CommitteeBH Service Needs for Children in Foster Care
AHCCCS CMO Update
Reaching across Arizona to provide comprehensive
quality health care for those in needSlide2
Pharmacy
2Reaching across Arizona to provide comprehensive quality health care for those in needSlide3
Summary of Supplemental Rebate to Date
14 drug classes since Jan 2015Represents ~11% of available classes and ~22% of total pharmacy spend3
Reaching across Arizona to provide comprehensive quality health care for those in needSlide4
4
Hepatitis C Virus (January 2015)Epinephrine, Injectable (November 2015)Cytokine and CAM Antagonists (November 2015)Growth hormone (November 2015)Inhaled Antibiotics (November 2015)
Inhaled Glucocorticoids (February 2016)Substance Use Disorder (May 2016)
Hypoglycemic Agents: Insulin and Related Agents (May 2016)
Hypoglycemic Agents: Incretin Mimetics/Enhancers (May 2016)
Chronic Obstructive Pulmonary Disease (May 2016)
Atypical Antipsychotics (August 2016)
Stimulants and Related Agents (August 2016)
Pancreatic Enzymes (August 2016)
Anticoagulants (August 2016
)
Long-acting narcotics (Oct 2016)
Supplemental
Rebate
Classes for AHCCCS Preferred Drug Lists
Reaching across Arizona to provide comprehensive
quality health care for those in needSlide5
Supplemental rebates
AHCCCS will not be adding any additional classes for review at this timeCapitation rates AHCCCS actuaries conducting a special detailed analysis If this analysis determines that a further capitation rate adjustment is warranted, we will update the capitation rates
mid-cycle
5
Reaching across Arizona to provide comprehensive
quality health care for those in needSlide6
Opioids
Pharmacy Directors Meeting 9/23/16Limit first fill to 10 daysMED at POS to guide interventionsCo-prescribing naloxone to prevent ODCSPMP check for pregnant members6
Reaching across Arizona to provide comprehensive quality health care for those in needSlide7
HCV DAA
Updated draft policy distributed to pharmacy and medical directorsCurrently out for public commentAnticipated effective date: 10/1/167Reaching across Arizona to provide comprehensive
quality health care for those in needSlide8
Autism Spectrum Disorder (ASD)
8Reaching across Arizona to provide comprehensive quality health care for those in needSlide9
ASD
Interim solution updateLong-term solution remains: integration 10/1/18 BCBA provider type going “live” 10/1/16BCBA code set released 6/2016 being updatedStreamlined PCP referral to Specialized ASD Diagnosing Provider
Next GO ASD Advisory Committee 9-28-16
9
Reaching across Arizona to provide comprehensive
quality health care for those in needSlide10
BH Service Needs for Children in Foster Care
10Reaching across Arizona to provide comprehensive quality health care for those in needSlide11
Updates
HB2442 CMDP Dashboard finalizationForums for implementationMonthly RBHA/CRS Meetings OIFA-led meetings with foster, kinship and adoptive families Monthly CMDP/DCS Meetings
Monthly Operational Meetings
11
Reaching across Arizona to provide comprehensive
quality health care for those in need