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Professional Dispensing Fee Survey

The Centers for Medicare and Medicaid Services (CMS) published the federal Covered Outpatient Drugs Final Rule (CMS-2345-FC) on January 21, 2016. To comply with the Final Rule, OMAP has contracted with Mercer Government Human Services Consulting (Mercer), a part of Mercer Health & Benefits LLC, to conduct a cost of dispensing (COD) survey to better understand and approximate the current cost of dispensing prescription medications to Pennsylvania Medicaid beneficiaries. The survey and analysis will support OMAP's overall understanding and evaluation of its pharmacy reimbursement components and the impact to the cost of dispensing prescription medications in Pennsylvania. 

The OMAP collaborated with Mercer to develop the COD survey for pharmacy providers in Pennsylvania. Participation in the survey is mandatory in accordance with the provisions in 55 Pa Code ยง 1101.51, Ongoing responsibilities of providers, and the Commonwealth of Pennsylvania, Department of Human Services, Provider Agreement for Pharmacy and Medical Suppliers. We strongly urge all pharmacies to participate; as your responses will be a significant component in understanding and approximating the cost to dispense prescription medications to Pennsylvania Medicaid beneficiaries!

โ€‹Click here for more information; including proposed survey materials and informational webinar materials. 

Pennsylvania Department of Health Naloxone Standing Order for Overdose Prevention

          Letter From Physician General

Pennsylvania Department of Health - Opioid Abuse Information

This page includes a host of resources of naloxone.


Free Lookup Tools Related To Licensure

Pennsylvania eHealth Partnership Authority


Act 8 - Immunizations for Children

On June 26, 2015, Governor Tom Wolf signed Act 8 into law with an effective date of 60 days thereafter.  On August 25, 2015 the law went into effect.  Immunizing pharmacists can begin providing these immunizations immediately after the effective date as long as following all other applicable regulations and procedures and the new requirements listed below.  (Make sure your protocol is updated!) For more information click here.

Act 31 - Child Abuse Reporting Requirements

Beginning January 31, 2015 - all applicants for a new/initial PA pharmacist license (includes intern license), (as well as all healthcare license) are required to complete a three hour training around child abuse and reporting requirements. 


Please click here to access a free course that has been approved by the PA Department of Human Services and Department of State to meet mandated reporting (Act 31) license requirements.


Renewals will also need to fulfill a two hour training program prior to next license renewal (9/30/2016)  

A list of courses available and providers is available by clicking here.  These courses are all approved and will count.

Click here for more information


Collaborative Practice

Finally after many years of waiting โ€“ since 2010 โ€“ Collaborative Practice for pharmacists in any practice setting is permitted.  The Independent Regulatory Review Commission (IRRC) voted to approve the final form of the regulation on July 9 and with its publication in the PA Bulletin, at the end of August 2015, the Act and its regulations are final and pharmacists can now expand their practice under this guidance. Click here for a short summary of the Act and regulations.


DIR Fees

NCPA has put together a resource page that explains more about DIR fees and how independents can cope with this,  Please access this information by clicking here.

Medical Assistance Providers Revalidation

In accordance with the federal Affordable Care Act, the Pennsylvania Department of Human Services (DHS) must re-validate all providers at least every five years; therefore, DHS is requesting providers that enrolled on or before March 25, 2011, to submit their enrollment applications now.  Providers will need to revalidate their enrollment information, for every service location, by completing a new enrollment application to meet the March 24, 2016, deadline.


The deadline is rapidly approaching for Medical Assistance provider enrollment/revalidation and we have not yet heard from many of you.
1.       You will NOT get paid if you are not enrolled/revalidated.
2.       Payments cannot be made retroactively.
3.       If we do not receive your application by July 30, 2016, you will not receive payments beginning September 25!
Click here to check the status of your application or apply online today.

DHS is anticipating a high volume of applications and in order to ensure that your application is processed timely, please submit your revalidation application as soon as possible.  This will prevent any interruption in your participation with DHS or our partnered managed care plans. 


The following links on the DHS website provide helpful information:


1.       DHS Provider Enrollment and Screening Requirements of the Affordable Care Act

2.       DHS enrollment/revalidation applications and instructions


You may have already revalidated and DHS encourages providers to check the MA Enrolled Provider Portal Lookup Function to determine your revalidation date.  All provider letters and portal login screens contain your next revalidation due date. Look for changes on the provider portal for each 13-digit logon to check your service location (s).


Please circulate this information with your provider membership to ensure continued enrollment in the Medical Assistance program.


Medical Marijuana

Pennsylvania has passed legislation authorizing the use of certain forms of marijuana for the treatment of certain disease states.  The PA Dept of Health is charged with developing enabling regulations.  PPA's attorney, Steven Grubb, of Goldberg Katzman has authored an article about the law.

Click here to access his report.

Another resource for information on medical cannabis.

Click here for this link.

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