tci Medicare Compliance & Reimbursement - 2007 Issue 37

PHARMACISTS: Medicaid Cracks Down On Noncompliant Prescriptions

Overlooking this law will guarantee denialsMedicaid may be posed to pack another wallop to profit margins already eroded by Medicare Part D--and there's little time to prepare.Starting Oct. 1, state Medicaid directors begin enforcing a law that calls for all outpatient Medicaid paper prescriptions to be written on a tamper-resistant pad.If a beneficiary presents a prescription on noncompliant paper, there's a good chance Medicaid will not reimburse pharmacies. The program can and, in many cases, will deny claims for prescriptions written on paper from pads that don't meet, at a minimum, at least one state-specified tamper-resistant criteria...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.

Thank you for choosing Find-A-Code, please Sign In to remove ads.