|
321 documents found matching dt:notes.
|
|
of 33
Prev
Next
|
|
|
|
Showing 1-10 of 321 documents
|
1.
Provider Policies: Adjunct Services
|
Document Date:
|
20000108/e
|
|
Corporate Author:
|
MAD
|
|
Search Terms in Context:
|
MAD: 00-06 PROVIDER POLICIES EFF:8-1-00
ADJUNCT SERVICES
7533 Covered Services
Medicaid covers most medically necessary prescription drugs and some over-the-
counter drugs, subject to the limitations and restrictions delineated in this Section.
Claims for injectable drugs, intravenous (IV) admixtures, IV nutritional products,
and other expensive medications can be reviewed for medical necessity before or
after reimbursement. Providers must consult MAD before supplying items not
specifically listed in this policy or billing instructions.
[2-1-95]
753.4 Coverage Requirements
753.41 Legal Requirements All drug items must be assigned a National
Drug Code. Any prescription must meet all federal and state laws.
Providers must fulfill all the requirements of federal and state laws relating
to pharmacy practice and ethics.
753.42 Rebate Requirements Medicaid pays only for the drugs of
pharmaceutical manufacturers who have entered into and have in effect a
rebate agreement with the federal Department of Health a
|
|
Bookmark:
|
http://dida.library.ucsf.edu/tid/aqa00a10
|
|
| |
2.
Kansas Administrative Regulations: Agency 30 Department of Social and Rehabilitation Services - Article 5 Provider Participation, Scope of Services, and Reimbursements for the Medicaid (Medical Assistance) Program
|
Document Date:
|
20010101
|
|
Corporate Author:
|
Department of Social and Rehabilitation Services
|
|
Search Terms in Context:
|
~~
pgNbr=1
N
N
N
pgNbr=2
KS ADC 30-5-92
KA.R. 30-5-92
Kan. Admin. Regs. 30-5-92
Page 1
KANSAS ADMINISTRATIVE REGULATIONS
AGENCY 30. DEPARTMENT OF SOCIAL AND REHABILITATION SERVICES
ARTICLE 5.-PROVIDER PARTICIPATION,SCOPE OF SERVICES, AND REIMBURSEMENTS FOR
THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM
Current with rules/regulations filed before January 1, 2001
30-5-92 Scope of pharmacy services.
(a) The scope of medical services provided to program recipients shall include pharmacy services.
(1) Kan Be Healthy participants shall be limited to prescription-only and over-the-coimter drugs, supplies and devices which
have been accepted for inclusion on any formulary listing which is adopted and distributed by the agency to eligible
providers of service.
(2) Other medicaid recipients shall be limited to designated prescription-only and over-the-counter drugs, supplies and
devices which have been accepted for inclusion on any formulary listing which is adopted and distributed by the agency to
eligible pro
|
|
Bookmark:
|
http://dida.library.ucsf.edu/tid/ara00a10
|
|
| |
3.
Pharmaceutical Services: Billing and Procedures Guide
|
Document Date:
|
20011001
|
|
Corporate Author:
|
Pharmaceutical Services
|
|
Search Terms in Context:
|
Pharmaceutical Services
Billing and Procedures Guide
October 1, 2001
State of Oregon
Office of Medical Assistance Programs
pgNbr=1
1
Only the actual number of drug units used by the recipient during the
monthly billing period or during the prescribed medication period can
be billed to OMAP.
The provider must credit OMAP for all unused medications as
established by the State Board of Pharmacy. .
OMAP will be billed for the date of dispensing within the timely filing
limit of one year.
Manufacturer's Unit Dose packaging of drugs is not reimbursable.
30-Day Card -
^ A 30-day blister pack, bingo or punch card containing multiple sealed
single doses of medication. The pharmacy must have a system for
dispensing and recovery of unused doses that has been approved by the
State Board of Pharmacy.
^ A 30-day card system which does not meet the requirements of the State
Board of Pharmacy for recovery of unused doses, or for other reasons does
not qualify for payment is not considered a True or Mo
|
|
Bookmark:
|
http://dida.library.ucsf.edu/tid/asa00a10
|
|
| |
4.
Idaho Administrative Code: Agency 16 Department of Health and Welfare - Chapter 09 Rules Governing the Medical Assistance Program
|
Document Date:
|
20021204
|
|
Corporate Author:
|
Department of Health and Welfare
|
|
Search Terms in Context:
|
ID ADC 16.03.09.811 Page 5
IDAPA 16.03.09.811
IDAHO ADMINISTRATIVE CODE
AGENCY 16. DEPARTMENT OF HEALTH AND WELFARE
TITLE 03.
CHAPTER 09. RULES GOVERNING THE MEDICAL ASSISTANCE PROGRAM
Current through December 4, 2002
811. EXCLUDED DRUG PRODUCTS.
The following categories and specific products are excluded: (4-5-00)
01. Non-Legend Medications. Non-legend medications unless included in Subsection 812.02. This includes
federal legend medications that change to non- legend status as well as their therapeutic equivalents regardless of
prescription status. (4-5-00)
02. Legend Drugs. Any legend drugs for which federal financial participation is not available. (4-5-00)
03. Diet Supplements. Diet supplements and weight loss products, except lipase inhibitors when prior authorized
as outlined in Subsection 812.03 of these rules. (5-20-02)T
04. Amphetamines And Related Products. Amphetamines and related products for cosmetic purposes or weight
loss. Amphetamines and related products which are deemed to be medic
|
|
Bookmark:
|
http://dida.library.ucsf.edu/tid/awa00a10
|
|
| |
5.
Baldwin's Ohio Administrative Code - Department of Job and Family Services - Division of Medical Assistance - Chapter: Pharmacy Services
|
Document Date:
|
20001231
|
|
Corporate Author:
|
Pharmacy Services|Department of Job and Family Services|Massachusetts Division of Medical Assistance
|
|
Search Terms in Context:
|
, or Tables>
HISTORICAL NOTES
Note: Effective 5-1-00, 5101:3-9-03 contains provisions of former 5101:3-9-
01.
CROSS REFERENCES
RC 5101.02, Director as executive head of department
RC 5111.01, Participation in medical assistance program
RC 5111.02, Reimbursement of medical providers; rulemaking powers
OH ADC 5101:3-9-03
END OF DOCUMENT
Copr. ® West 2003 No Claim to Orig. U.S. Govt. Works
pgNbr=5
|
|
Bookmark:
|
http://dida.library.ucsf.edu/tid/bqa00a10
|
|
| |
6.
Limitations Pertinent to Drugs and Pharmacy Services
|
Document Date:
|
20030000/e
|
|
Corporate Author:
|
Pharmacy Services|CCH Incorporated
|
|
Search Terms in Context:
|
pgNbr=1
x
CL
!A
d
7
CL
pgNbr=2
;TATP--REG, MEDICAID-RI R40-8-403, Limitations pertinent to drugs and pharmacy services Page 1 of 3
;TATS-REG, MEDICAID-RI R40-8-403, Limitations pertinent to drugs and pharmacy services
Copyright C 2003, CCHINCORPORATED. All rights reserved.
itions pertinent to drugs and pharmacy services
Title 40. Human Services
Chapter 8. Medical Assistance
Article 4. Provision for the Purchase of Drugs Through the Rhode Island Medical Assistance Program
R40-8-403 Limitations pertinent to drugs and pharmacy services
Citation system (c) CCH NILS Publishing Company
A. Payment will not be made for:
1. New or experimental drugs in a state of preliminary trial and drugs of doubtful efficacy.
2. Drugs available through existing community-sponsored programs; e.g., drugs used in the treatment and/or
prevention of tuberculosis, venereal diseases; gamma globulin for prevention of infectious hepatitis and the prevention
or modification of measles and other biologicals provided by the Rhode I
|
|
Bookmark:
|
http://dida.library.ucsf.edu/tid/bsa00a10
|
|
| |
7.
New Jersey Administrative Code: Title 10 Department of Human Services - Chapter 51 Pharmaceutical Services Manual
|
Document Date:
|
20010806/e
|
|
Corporate Author:
|
Department of Human Services|Pharmaceutical Services
|
|
Search Terms in Context:
|
pgNbr=1
Z
c9
C
m
pgNbr=2
NJ ADC 10:51-2.10
NJ.A.C. 10:51-210
NJ. Admix. Code t. 10, § 51-2.10
NEW JERSEY ADNDU&'MTIVE CODE
TITLE 10. DEPARTMENT SERVICES OF HUMAN
CHAPTER Si. PHARMACEUTICAL
SERVICES MANUAL
SUBCHAPTER 2. PHARMACEUTICAL
SERVICES TO MEDICAID OR NJ KWCARE
FXE-FOR-
SERVICES BENEFICIARIES IN A NURSING
FACILITY
Current through, August 6, 2001; 33 NJ. Reg. No.
15.
10:51-2.10 Covered phartuaccutical services
(a) All covered pbz=axwkd services shall be
provided within the scope of NJ.A.C. 10:49
(Aion) and this Chapter, and bailkd to the
fiscal agent on the claim form or other approved
bsllm' g method, (See Appendix. Fiscal Agent Billing
Supplement).
(b) Covered pharmaceutical services iclude:
1. Prescribed legend drugs (for their medically
accepted Wdicatio') as defined in Se :tiom 1927(kX6)
of Social Security A. .Legend drugs" mean those
drugs whose labels include the legend statement
'Caution: Federal Law Probi inns Dispensing
Without a Prescription.-
< General Materials (GM) - Referenc
|
|
Bookmark:
|
http://dida.library.ucsf.edu/tid/bta00a10
|
|
| |
8.
Idaho Administrative Code: Agency 16 Department of Health and Welfare - Chapter 09 Rules Governing the Medical Assistance Program
|
Document Date:
|
20021204
|
|
Corporate Author:
|
Department of Health and Welfare
|
|
Search Terms in Context:
|
ID ADC 16.03.09.812
IDAPA 16.03.09.812
IDAHO ADMINISTRATIVE CODE
AGENCY 16. DEPARTMENT OF HEALTH AND WELFARE
TITLE 03.
CHAPTER 09. RULES GOVERNING THE MEDICAL ASSISTANCE PROGRAM
Current through December 4, 2002
0
812. ADDITIONAL COVERED DRUG PRODUCTS.
Additional drug products will be allowed as follows: (4-5-00)
01. Therapeutic Vitamins. Therapeutic vitamins may include: (4-5-00)
a. Injectable vitamin B12 (cyanocobalamin and analogues); (4-5-00)
b. Vitamin K and analogues; (4-5-00)
c. Pediatric legend vitamin-fluoride preparations; (4-5-00)
d. Legend prenatal vitamins for pregnant or lactating women; (4-5-00)
e. Legend folic acid; (4-5-00)
Page 6
f. Oral legend drugs containing folic acid in combination with Vitamin B12 and/or iron salts, without additional
ingredients; and (4-5-00)
g. Legend vitamin D and analogues. (4-5-00)
02. Prescriptions For Nonlegend Products. Prescriptions for nonlegend products may include: (4-5-00)
a. Insulin; (4-5-00)
b. Disposable insulin syringes and needles; (4-5-0
|
|
Bookmark:
|
http://dida.library.ucsf.edu/tid/bwa00a10
|
|
| |
9.
Baldwin's Ohio Administrative Code - Department of Job and Family Services - Division of Medical Assistance - Chapter: Pharmacy Services
|
Document Date:
|
20001231
|
|
Corporate Author:
|
Pharmacy Services|Department of Job and Family Services|Massachusetts Division of Medical Assistance
|
|
Search Terms in Context:
|
; 1999-2000 OMR 1345
(A*), eff. 2-3-00; 1997-98 OMR 642 (R-E), eff. 10-1-97; 1985-86 OMR 1202 (R E), eff. 5-9-86; 1977-78 OMR
2-200 (A), eff. 9-19-77; 1977- 78 OMR 2-59 (E), eff. 4-7-77
RC 119.032 rule review date(s): 2-11-05; 10-1-02; 2-11-00
<General Materials (GM) - References, Annotations, or Tables>
HISTORICAL NOTES
Amendment Note: 8-30-01 Made - a nonsubstantive change.
CROSS
|
|
Bookmark:
|
http://dida.library.ucsf.edu/tid/cqa00a10
|
|
| |
10.
Pharmacy Coverage Policy
|
Document Date:
|
20021105/e
|
|
Corporate Author:
|
Rhode Island DHS
|
|
Search Terms in Context:
|
Pharmacy Coverage Policy
DHS Home Page-> Health Care->Pro\9der Services ->Manuals->Pharmacy Coverage Policy
~DHS
Home
Site.41ap
Search
Page 1 of
Pharmacy Coverage Policy
Prescription Requirements
All medication is dispensed on the basis of a written prescription from the
prescribing provider. Exceptions are allowed in emergency situations. In t
instances where an emergency arises, a 72 hour supply of medication may
dispensed on the basis of a phone-in prescription. Emergency prescription
refillable. An example of an emergency situation is a physician phoning it
antibiotic for a child over the weekend. A 72 hour supply of medication m
dispensed until a written prescription can be obtained.
Rebate Agreement
Only those drug products that are manufactured by pharmaceutical compa
have signed a rebate agreement with HCFA pursuant to the Omnibus Bud;
Reconciliation Act of 1990 will be reimbursed.
Brand Necessary
In those instances where a medication is subject to Federal or State Upper
and the prescribi
|
|
Bookmark:
|
http://dida.library.ucsf.edu/tid/csa00a10
|
|
| |
|
Prev
Next
|
