PPT-State Medicaid Alternative Reimbursement and Purchasing Test for High-cost Drugs [SMART-D]

Prescription Drug Alternative Payment Models and Medicaid National Association of Medicaid Directors November 8 2016 Jane Beyer Program Officer Milbank Memorial FundOHSU Center for Evidencebased Policy. Begun in 1991 and based in the Kaiser Family Foundations Washington DC office the Commission is the largest operating program of the Foundation The Commissions work is conducted by Foundation staff under the guidance of a bi partisan group of nation Debbra Curtis, CPA – New Horizons Healthcare. 1. Medicaid Wrap Around. Medicaid reimbursement rate for FQHCs. Medicaid reimburses FQHCs (hereafter Centers) under the Alternative Payment Methodology (APM), a cost based rate. Centers are paid an all-inclusive per visit rate based on reasonable costs as reported on its annual cost report. During the year, Medicaid pays an interim rate and reconciliation to actual costs are made with the annual cost report.. Waivers. Seema Verma, MPH. President & Consultant. SVC Inc. Medicaid 50 Year Anniversary. President Johnson & War on Poverty:. “We want to give the forgotten fifth of our people opportunity not doles..”. Enhanced Reimbursement. March 8, 2018. What is Enhanced Reimbursement?. Increased payments for DSS requested CMEs. New reimbursement is $575 but subject to change after July 1, 2018.. All DSS CMEs eligible for the enhanced rate. Office of Special Programs. April 17, 2015. Agenda. OSP Sources . of Funding:. IDEA . (Federal. ) (. 43YXX. ). State . A. id . for . Exceptional . S. tudents . (. 02Y1X. ). Out-of-State . – state (. Mindy McGrath, MPH. NFPRHA. FEBRUARY 13, 2018. What is 340B?. Allows safety-net providers to access discounted drugs in order to “stretch scarce federal resources as far as possible, reaching more eligible patients and providing more comprehensive services”. Program. MEDICAID . UPDATE TRAINING . . 2015. Agenda. N. ew York State Medicaid Program. Compliance. SSHSP Stakeholders. SSHSP Requirements and Provider Responsibilities. Medicaid Alerts. Boyd Rutherford, Lt. Governor. Dennis Schrader, Secretary. Pharmacy Stakeholder Meeting. Athos Alexandrou, MBA . Director . Maryland Medicaid Pharmacy . Program. January 9,2017. 2. WELCOME. Opening . 1. Medicaid Administrative Claiming (MAC). All Direct and Administrative staff. Fee For Service. (PT, OT, Speech, Nurse, Psychologist – Care Coordination, Pers. Care 1:1 aide, Specialized Trans.). 410 - 576 - 7009 www.marylandattorneygeneral.gov AG Gansler Secures Recovery from Dava Pharmaceuticals, Inc. Failure to pay full rebates is focus of Medicaid fraud scheme Baltimore, MD (March 7, 2012) MEDICAID FEE-FOR-SERVICE PROGRAM PHARMACY MANUALPOLICY GUIDELINESMedicaid FFS Pharmacy Manual Policy Guidelines Version 2021-04June 2021Page 1of53Table of Contents REQUIRED PRESCRIBING INFORMATION 3P Cost of Drugs for Individuals Served by Ohio Department of Developmental Disabilities. Who Does This Analysis Include?. Medicaid claims data was used to gather information about individuals who are served by the Ohio Department of Disabilities, and who had Medicaid claims in 2015.. of Health . (LDH. ) sought to . improve access to care and manage costs by . increasing enrollment in the LaHIPP program. . LaHIPP will be re-launched . April . 2017.. Act 269- “The Baby Bill”. Intended . 1. Purchasing . Staff. Joe . D. Smedley, Director of Purchasing. . 464-1620 Ext. 1128. j. oe.smedley@donnaisd.net. . . Xavier Garza, . Purchasing Specialist . 464-1620 Ext. . 1142. . . xfgarza@donnaisd.net.