As of January 17, pharmacists can enroll as providers in Ohio and obtain a Medicaid ID number for billing purposes. The final rule on payment for certain pharmacy-based services can be found here.
For more information, contact NACDS’ Jill McCormack at 717-592-8977.
The Department of Health (ODH) has issued Updated Provider Guidance on Phase 1B of COVID-19 Vaccine Distribution. The update includes new information on specifics regarding those who have an intellectual or developmental disability AND severe congenital, developmental, or early-onset medical conditions; information on employees of K-12 schools; details as to who will be offering vaccinations for eligible populations; directions for vaccination providers on how to update information in the online vaccine provider directory; important instructions on the handling and storing Pfizer vaccine and notice that ODH will send notifications to enrolled providers about vaccine allocations on Tuesday or Wednesday of each week. Please direct questions or issues to COVIDVACCINE@odh.ohio.gov. You also may visit the ODH COVID-19 Vaccine Provider Information Training page for additional information and resources.
For more information, contact NACDS’ Jill McCormack at 717-592-8977.
This week, the Ohio Department of Medicaid (OCM) awarded the contract for its Single Pharmacy Benefits Manager to Gainwell Technologies. Please see ODM’s news release for more information.
For more information, contact NACDS’ Jill McCormack at 717-592-8977.
The Department of Medicaid issued an emergency rule to provide payment for the administration of the COVID-19 vaccine at the Medicare rate. The rule was effective December 23 and expires April 23, 2021.
Also in Ohio. The Office of Vaccine Preparedness released its weekly report which also includes links to provider enrollment and other information related to the vaccine plan in Ohio. For more information, please visit the above link.
For more information, contact NACDS’ Jill McCormack at 717-592-8977.
The Ohio Department of Health (ODH) has published a weekly update on the COVID vaccine. The document includes links to updated guidance published by ODH, the CDC, and FDA. It also includes FAQs on billing procedures for the COVID vaccine. Please visit the above weblinks for additional information.
For more information, contact NACDS’ Jill McCormack at 717-592-8977.
The Board of Pharmacy has asked NACDS to remind pharmacies about their guidance on dealing with expired licenses and NPLEX. Additionally, they are interested in knowing if pharmacies are experiencing any issues with the modification process necessary to input expired licenses. If you have any feedback that you would like NACDS to share with the Board, please forward it to Jill McCormack at jmccormack@nacds.org.
For more information, contact NACDS’ Jill McCormack at 717-592-8977.
The Board of Pharmacy has released updated guidance including FAQs on the administration of COVID-19 vaccines during the pandemic. Similar guidance addressing pharmacy technicians is also available here.
Also in Ohio. Medicaid has released the results of its 2020 Fee-For-Service Pharmacy Cost of Dispensing Study conducted by Myers & Stauffer. The survey found that the mean cost of dispensing, weighted by Medicaid prescription volume, was $9.46 per prescription for all pharmacies including specialty pharmacies. For non-specialty pharmacies only, the mean cost of dispensing, weighted by Medicaid prescription volume, was $9.07 per prescription. Based on the results from this survey, ODM stated there will be no change to the current FFS tiered structure.
For more information, contact NACDS’ Jill McCormack at 717-592-8977.
The Department of Medicaid has published a revised version of rules intended to allow pharmacists to bill Medicaid for collaborative drug therapy management, immunizations, and medication administration. This version makes it clearer that pharmacists can use a standing order or protocol as documentation for immunization services. NACDS plans to comment and asks members to send comments to jmccormack@nacds.org by November 10, 2020.
Also in Ohio. On November 19, 2020, the Ohio Department of Medicaid will be offering a Basic Billing fee-for-service training session for pharmacists who will be providing services to Ohio Medicaid patients. Attendees will receive basic information regarding Ohio Medicaid rules, Ohio Medicaid eligibility, MITS portal billing, and other resources. Registration is required. After registering, you will receive a confirmation email containing information about joining the webinar.
For more information, contact NACDS’ Jill McCormack at 717-592-8977.
The Ohio Department of Health and the Governor’s Pandemic Response and Recovery Leadership Team created a webinar on how to participate in the Ohio COVID-19 Vaccine Program. This webinar is now available on-demand and provides an overview of Ohio’s proposed vaccination strategy, as well as detailed instructions if you choose to become a provider of the COVID-19 vaccine when it becomes available. Please submit any questions you have to covidvaccine@ODH.ohio.gov.
For more information, contact NACDS’ Jill McCormack at 717-592-8977.