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1 Pharmacy ASD Advisory Committee 1 Pharmacy ASD Advisory Committee

1 Pharmacy ASD Advisory Committee - PowerPoint Presentation

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Uploaded On 2018-11-01

1 Pharmacy ASD Advisory Committee - PPT Presentation

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

comprehensive care 2016 provide care comprehensive provide 2016 health quality arizona reaching 2015 classes november pharmacy meetings august agents

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Presentation Transcript

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