Kentucky Statutes 205.6316 – Review of procedures for medical assistance reimbursement of pharmacists to reduce fraud and abuse — Dispensing fee
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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.
(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;
Terms Used In Kentucky Statutes 205.6316
- Cabinet: means the Cabinet for Health and Family Services. See Kentucky Statutes 205.010
- Fraud: Intentional deception resulting in injury to another.
- Physician: means a person authorized to practice medicine or osteopathy under the laws of the Commonwealth. See Kentucky Statutes 205.510
(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.