205.6316 Review of procedures for medical assistance reimbursement of pharmacists to reduce fraud and abuse -- Dispensing fee. - Kentucky Statutes

Download pdf

Loading PDF...

Page 1 of 1 205.6316 Review of procedures for medical assistance reimbursement of pharmacists to reduce fraud and abuse -- Dispensing fee. The Cabinet for Health and Family Services shall review the procedures for medical
assistance reimbursement of pharmacists to reduce fraud and abuse. The cabinet shall by
promulgation of administrative regulation, pursuant to KRS Chapter 13A, establish the
following:
(1) Point-of-sale computer technology, with integration of data at the physician's office and the pharmacy, that will permit prospective drug utilization review; (2) Usage parameters by drug class to enable medical necessity and appropriateness reviews to be conducted prior to payment; (3) A dialog among the Department for Medicaid Services, the Kentucky Medical Board of Licensure, and the Kentucky Board of Pharmacy, to develop
recommendations for legislation for the 1996 Regular Session of the General
Assembly that will strengthen the generic substitution laws for prescription
medication; and (4) A dispensing fee for each prescription. Effective: June 20, 2005
History: Amended 2005 Ky. Acts ch. 99, sec. 250, effective June 20, 2005. -- Amended 2004 Ky. Acts ch. 108, sec. 2, effective July 13, 2004. -- Amended 2002 Ky. Acts
ch. 8, sec. 2, effective February 21, 2002. -- Amended 2000 Ky. Acts ch. 521,
sec. 29, effective July 14, 2000. -- Amended 1998 Ky. Acts ch. 426, sec. 208,
effective July 15, 1998. -- Created 1994 Ky. Acts ch. 512, sec. 75, effective July 15,
1994.